| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.60 | $166.62 | $585.54 | |
BCBS
| Professional | $226.21 | $266.64 | $781.84 | |
Cigna
| Professional | $152.04 | $253.00 | $781.84 | |
MVP Health Care
| Professional | $177.02 | $267.70 | $781.84 | |
United
| Professional | $196.99 | $281.06 | $959.63 |