| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $125.00 | $125.00 | $291.50 |
BCBS
| Facility | 26 | $648.04 | $648.04 | $648.04 |
Cigna
| Professional | 26 | $137.16 | $150.06 | $427.52 |
MVP Health Care
| Professional | 26 | $137.16 | $150.06 | $427.52 |
United
| Professional | 26 | $106.35 | $149.87 | $233.49 |