| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.02 | $87.02 | $87.02 | |
BCBS
| Facility | $84.99 | $98.82 | $129.49 | |
Cigna
| Professional | $80.29 | $80.29 | $138.37 | |
MVP Health Care
| Professional | $80.29 | $80.29 | $138.37 | |
United
| Professional | $44.19 | $105.30 | $227.92 |