| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $128.82 | $151.36 | |
Aetna
| Professional | $107.15 | $128.82 | $181.97 | |
BCBS
| Professional | $194.98 | $194.98 | $194.98 | |
Cigna
| Professional | $109.65 | $151.36 | $257.04 | |
MVP Health Care
| Professional | $162.18 | $190.55 | $457.09 | |
United
| Professional | $100.00 | $181.97 | $288.40 |