| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $30.20 | $41.69 | $446.68 | |
Cigna
| Professional | $158.49 | $245.47 | $331.13 | |
MVP Health Care
| Professional | $223.87 | $223.87 | $223.87 | |
United
| Professional | $50.12 | $54.95 | $87.10 |