| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $125.00 | $125.00 | $291.50 |
BCBS
| Professional | 26 | $37.58 | $37.58 | $37.58 |
Cigna
| Professional | 26 | $40.35 | $43.08 | $121.88 |
MVP Health Care
| Professional | 26 | $40.35 | $43.08 | $121.88 |
United
| Professional | 26 | $29.67 | $44.13 | $66.56 |