| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $18.11 | $18.11 | |
Aetna
| Professional | $13.28 | $18.10 | $146.06 | |
Cigna
| Professional | $19.00 | $21.00 | $75.00 | |
MVP Health Care
| Professional | $19.00 | $21.00 | $30.79 | |
United
| Professional | $23.82 | $28.70 | $289.93 |