| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.15 | $100.85 | $115.00 | |
Aetna
| Professional | $66.50 | $100.85 | $142.80 | |
BCBS
| Professional | $129.49 | $135.09 | $159.52 | |
Cigna
| Professional | $56.77 | $108.73 | $180.49 | |
MVP Health Care
| Professional | $0.03 | $99.69 | $154.30 | |
United
| Professional | $89.48 | $126.97 | $225.15 |