| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.00 | $48.00 | $48.00 | |
Aetna
| Professional | $30.00 | $48.00 | $860.00 | |
Cigna
| Professional | $180.00 | $288.00 | $405.20 | |
MVP Health Care
| Professional | $160.00 | $244.00 | $320.00 | |
United
| Professional | $50.00 | $55.00 | $92.38 |