| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.00 | $107.67 | $137.80 | |
Aetna
| Professional | $84.00 | $117.13 | $179.60 | |
BCBS
| Professional | $172.72 | $202.23 | $212.81 | |
Cigna
| Professional | $90.10 | $152.16 | $242.28 | |
MVP Health Care
| Professional | $0.03 | $132.58 | $215.83 | |
United
| Professional | $125.95 | $173.75 | $337.05 |