| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.29 | $76.29 | $78.30 | |
Aetna
| Professional | $53.32 | $67.84 | $84.72 | |
BCBS
| Professional | $73.69 | $86.86 | $86.86 | |
Cigna
| Professional | $57.73 | $57.73 | $147.00 | |
MVP Health Care
| Professional | $57.73 | $97.94 | $147.00 | |
United
| Professional | $78.79 | $94.39 | $199.59 |