| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.89 | $67.89 | $113.89 | |
BCBS
| Facility | $89.79 | $89.79 | $114.99 | |
Cigna
| Professional | $67.89 | $67.89 | $67.89 | |
MVP Health Care
| Professional | $67.89 | $67.89 | $67.89 | |
United
| Professional | $63.23 | $66.56 | $69.22 |