| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.44 | $179.25 | $278.97 | |
BCBS
| Professional | $217.03 | $217.03 | $217.03 | |
Cigna
| Professional | $196.80 | $313.70 | $587.16 | |
MVP Health Care
| Professional | $196.80 | $292.02 | $400.00 | |
United
| Professional | $164.83 | $226.74 | $655.07 |