| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.23 | $18.39 | $25.82 | |
BCBS
| Professional | $25.91 | $30.55 | $52.21 | |
Cigna
| Professional | $12.80 | $12.80 | $52.21 | |
MVP Health Care
| Professional | $12.80 | $17.29 | $52.21 | |
United
| Professional | $17.16 | $29.36 | $64.08 |