| 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 | $2,752.00 | |
Cigna
| Professional | $675.00 | $1,080.00 | $1,519.50 | |
MVP Health Care
| Professional | $600.00 | $915.00 | $1,200.00 | |
United
| Professional | $45.00 | $55.00 | $92.38 |