| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $123.03 | $363.08 | |
BCBS
| Professional | $457.09 | $457.09 | $457.09 | |
Cigna
| Professional | $93.33 | $151.36 | $208.93 | |
MVP Health Care
| Professional | $123.03 | $162.18 | $213.80 | |
United
| Professional | $131.83 | $154.88 | $295.12 |