| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $95.50 | $134.90 | |
BCBS
| Professional | $134.90 | $151.36 | $151.36 | |
Cigna
| Professional | $64.57 | $64.57 | $64.57 | |
MVP Health Care
| Professional | $120.23 | $151.36 | $177.83 | |
United
| Professional | $66.07 | $89.13 | $316.23 |