| 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 | $688.00 | |
Cigna
| Professional | $135.00 | $216.00 | $303.89 | |
MVP Health Care
| Professional | $120.00 | $183.00 | $240.00 | |
United
| Professional | $50.00 | $55.00 | $86.59 |