| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.00 | $48.00 | $48.00 | |
Aetna
| Professional | $30.00 | $38.00 | $4,472.00 | |
Cigna
| Professional | $1,125.00 | $1,800.00 | $2,532.50 | |
MVP Health Care
| Professional | $1,000.00 | $1,525.00 | $2,000.00 | |
United
| Professional | $50.00 | $54.00 | $86.59 |