| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.70 | $99.64 | $323.00 | |
BCBS
| Professional | $136.03 | $160.36 | $266.39 | |
Cigna
| Professional | $78.56 | $122.94 | $266.39 | |
MVP Health Care
| Professional | $104.88 | $127.85 | $266.39 | |
United
| Professional | $76.80 | $108.33 | $326.97 |