| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.00 | $51.00 | $51.00 | |
BCBS
| Professional | $45.90 | $45.90 | $144.75 | |
Cigna
| Professional | $144.75 | $144.75 | $144.75 | |
MVP Health Care
| Professional | $144.75 | $144.75 | $144.75 |