| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.30 | $30.30 | $30.30 |
Aetna
| Professional | $135.41 | $169.67 | $169.67 | |
BCBS
| Professional | $151.84 | $196.63 | $571.58 | |
Cigna
| Professional | $124.50 | $190.68 | $571.58 | |
MVP Health Care
| Professional | $112.37 | $190.68 | $358.86 | |
United
| Professional | $99.57 | $172.44 | $553.54 |