| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.89 | $146.18 | $705.00 | |
BCBS
| Professional | $171.28 | $171.28 | $201.90 | |
Cigna
| Professional | $123.50 | $192.01 | $526.45 | |
MVP Health Care
| Professional | $153.51 | $236.15 | $526.45 | |
United
| Professional | $157.29 | $200.10 | $646.16 |