| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $158.49 | $239.88 | |
BCBS
| Facility | 26 | $346.74 | $346.74 | $346.74 |
Cigna
| Professional | $181.97 | $346.74 | $562.34 | |
MVP Health Care
| Professional | $154.88 | $154.88 | $537.03 | |
United
| Professional | $141.25 | $275.42 | $794.33 |