| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $131.83 | $398.11 | |
Aetna
| Professional | 52 | $75.86 | $75.86 | $75.86 |
BCBS
| Professional | $162.18 | $162.18 | $257.04 | |
Cigna
| Professional | $104.71 | $144.54 | $190.55 | |
MVP Health Care
| Professional | $97.72 | $107.15 | $257.04 | |
United
| Professional | $77.62 | $141.25 | $169.82 |