| 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 | $1,720.00 | |
Cigna
| Professional | $405.00 | $648.00 | $911.70 | |
MVP Health Care
| Professional | $360.00 | $549.00 | $720.00 | |
United
| Professional | $50.00 | $54.00 | $86.59 |