| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $870.96 | |
Aetna
| Professional | $72.44 | $89.13 | $173.78 | |
BCBS
| Professional | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $66.07 | $97.72 | $120.23 | |
MVP Health Care
| Professional | $100.00 | $131.83 | $251.19 | |
United
| Professional | $89.13 | $109.65 | $199.53 |