| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.96 | $24.96 | $24.96 | |
Aetna
| Professional | $6.19 | $26.54 | $36.19 | |
Cigna
| Professional | $19.00 | $21.00 | $90.00 | |
MVP Health Care
| Professional | $19.00 | $21.00 | $29.42 | |
United
| Professional | $8.02 | $23.82 | $28.70 |