| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.23 | $72.23 | $112.95 | |
Aetna
| Professional | $61.24 | $97.14 | $352.00 | |
BCBS
| Professional | $153.13 | $173.81 | $193.93 | |
Cigna
| Professional | $74.66 | $131.29 | $228.90 | |
MVP Health Care
| Professional | $81.00 | $141.31 | $249.07 | |
United
| Professional | $124.36 | $156.44 | $323.22 |