| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $125.00 | $125.00 | $291.50 |
BCBS
| Professional | 26 | $111.50 | $111.50 | $111.50 |
Cigna
| Professional | 26 | $119.68 | $130.00 | $367.07 |
MVP Health Care
| Professional | 26 | $119.68 | $128.59 | $367.07 |
United
| Professional | 26 | $88.00 | $130.94 | $200.47 |