| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,376.18 | $1,376.18 | $1,376.18 | |
BCBS
| Professional | $734.36 | $734.36 | $734.36 | |
Cigna
| Professional | $192.05 | $360.77 | $734.36 | |
MVP Health Care
| Professional | $360.77 | $462.03 | $734.36 | |
United
| Professional | $221.41 | $270.55 | $901.35 |