| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $112.20 | $251.19 | |
BCBS
| Professional | $109.65 | $125.89 | $128.82 | |
Cigna
| Professional | $79.43 | $102.33 | $151.36 | |
MVP Health Care
| Professional | $0.05 | $0.05 | $0.05 | |
United
| Professional | $81.28 | $104.71 | $208.93 |