| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.72 | $103.77 | $255.89 | |
BCBS
| Professional | $107.81 | $130.88 | $372.28 | |
Cigna
| Professional | $99.95 | $140.08 | $372.28 | |
MVP Health Care
| Professional | $101.23 | $149.76 | $372.28 | |
United
| Professional | $83.17 | $120.27 | $413.95 |