| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.00 | $171.49 | $204.43 | |
Aetna
| Professional | $135.63 | $173.25 | $543.49 | |
BCBS
| Professional | $247.54 | $288.91 | $309.49 | |
Cigna
| Professional | $137.05 | $224.46 | $357.77 | |
MVP Health Care
| Professional | $0.03 | $210.30 | $347.08 | |
United
| Professional | $179.31 | $259.76 | $481.50 |