| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.07 | $54.14 | $164.00 | |
Aetna
| Professional | 26 | $20.53 | $24.19 | $122.46 |
BCBS
| Professional | $53.32 | $53.32 | $197.21 | |
Cigna
| Professional | $41.94 | $74.47 | $197.21 | |
Cigna
| Professional | 26 | $26.72 | $40.01 | $80.11 |
MVP Health Care
| Professional | $40.04 | $68.86 | $114.28 | |
MVP Health Care
| Professional | 26 | $26.72 | $39.32 | $80.11 |
United
| Professional | $49.56 | $54.76 | $198.94 | |
United
| Professional | 26 | $22.63 | $31.92 | $95.93 |