| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.00 | $52.00 | $52.00 | |
BCBS
| Professional | $50.34 | $50.34 | $50.34 | |
Cigna
| Professional | $21.25 | $21.25 | $21.25 | |
MVP Health Care
| Professional | $21.25 | $21.25 | $21.25 | |
United
| Professional | $24.64 | $59.22 | $266.49 |