| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $64.57 | $93.33 | |
BCBS
| Professional | $93.33 | $112.20 | $112.20 | |
Cigna
| Professional | $32.36 | $66.07 | $109.65 | |
MVP Health Care
| Professional | $79.43 | $112.20 | $154.88 | |
United
| Professional | $28.84 | $64.57 | $120.23 |