| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.79 | $105.50 | $113.98 | |
BCBS
| Professional | $132.38 | $161.37 | $189.50 | |
Cigna
| Professional | $90.10 | $141.36 | $223.64 | |
MVP Health Care
| Professional | $91.49 | $142.27 | $249.62 | |
United
| Professional | $128.94 | $150.16 | $268.95 |