| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $125.89 | |
Aetna
| Professional | $81.28 | $134.90 | $275.42 | |
BCBS
| Professional | $165.96 | $194.98 | $194.98 | |
Cigna
| Professional | $95.50 | $141.25 | $389.05 | |
MVP Health Care
| Professional | $131.83 | $173.78 | $218.78 | |
United
| Professional | $97.72 | $134.90 | $263.03 |