| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.40 | $92.95 | $152.91 | |
BCBS
| Professional | $203.63 | $203.63 | $203.63 | |
Cigna
| Professional | $76.63 | $129.94 | $295.63 | |
MVP Health Care
| Professional | $86.85 | $136.18 | $295.63 | |
United
| Professional | $134.83 | $220.35 | $413.83 |