| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.25 | $165.83 | $550.89 | |
BCBS
| Professional | $216.26 | $216.26 | $592.99 | |
Cigna
| Professional | $125.85 | $224.77 | $592.99 | |
MVP Health Care
| Professional | $146.46 | $226.76 | $592.99 | |
United
| Professional | $184.23 | $224.28 | $727.83 |