| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $141.25 | $199.53 | |
BCBS
| Professional | $194.98 | $218.78 | $218.78 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
MVP Health Care
| Professional | $169.82 | $234.42 | $251.19 | |
United
| Professional | $95.50 | $128.82 | $446.68 |