| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $122.95 | $122.95 | $122.95 |
BCBS
| Facility | 26 | $705.34 | $705.34 | $705.34 |
Cigna
| Professional | 26 | $154.16 | $159.16 | $455.02 |
MVP Health Care
| Professional | 26 | $154.16 | $159.16 | $455.02 |
United
| Professional | 26 | $114.22 | $172.76 | $484.02 |