| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $104.71 | $199.53 | |
BCBS
| Professional | $199.53 | $199.53 | $295.12 | |
Cigna
| Professional | $53.70 | $104.71 | $208.93 | |
MVP Health Care
| Professional | $75.86 | $109.65 | $190.55 | |
United
| Professional | $60.26 | $109.65 | $302.00 |