| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.04 | $152.35 | $152.35 | |
BCBS
| Professional | $170.75 | $170.75 | $625.71 | |
Cigna
| Professional | $198.42 | $207.22 | $625.71 | |
MVP Health Care
| Professional | $198.42 | $207.22 | $625.71 | |
United
| Professional | $146.79 | $213.36 | $665.60 |