| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.46 | $195.46 | $195.46 | |
BCBS
| Professional | $1,037.46 | $1,037.46 | $1,037.46 | |
Cigna
| Professional | $260.80 | $328.31 | $1,037.46 | |
MVP Health Care
| Professional | $260.80 | $328.31 | $1,037.46 | |
United
| Professional | $188.01 | $298.57 | $566.60 |