| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.17 | $193.71 | $949.00 | |
BCBS
| Professional | $685.53 | $685.53 | $685.53 | |
Cigna
| Professional | $143.90 | $260.18 | $685.53 | |
MVP Health Care
| Professional | $178.58 | $279.33 | $685.53 | |
United
| Professional | $209.32 | $266.41 | $841.41 |