| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $125.00 | $125.00 | $125.00 |
BCBS
| Facility | 26 | $568.51 | $568.51 | $568.51 |
Cigna
| Professional | 26 | $120.80 | $132.31 | $375.95 |
MVP Health Care
| Professional | 26 | $120.80 | $132.31 | $375.95 |
United
| Professional | 26 | $92.27 | $120.83 | $205.33 |