| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $30.20 | $44.67 | $1,412.54 | |
Cigna
| Professional | $602.56 | $912.01 | $1,230.27 | |
MVP Health Care
| Professional | $724.44 | $724.44 | $724.44 | |
United
| Professional | $50.12 | $54.95 | $87.10 |