| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $53.70 | $128.82 | |
Aetna
| Professional | 26 | $20.89 | $25.70 | $91.20 |
BCBS
| Professional | $53.70 | $53.70 | $194.98 | |
Cigna
| Professional | $41.69 | $69.18 | $117.49 | |
Cigna
| Professional | 26 | $26.92 | $39.81 | $52.48 |
MVP Health Care
| Professional | $50.12 | $69.18 | $194.98 | |
MVP Health Care
| Professional | 26 | $28.84 | $31.62 | $79.43 |
United
| Professional | $46.77 | $61.66 | $123.03 | |
United
| Professional | 26 | $22.39 | $31.62 | $53.70 |