| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.04 | $55.04 | $55.04 | |
Aetna
| Professional | $43.87 | $55.04 | $55.04 | |
Cigna
| Professional | $49.20 | $49.20 | $49.20 | |
MVP Health Care
| Professional | $49.20 | $49.20 | $49.20 | |
United
| Professional | $18.80 | $20.66 | $60.39 |