| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.60 | $15.60 | $15.60 | |
Aetna
| Professional | $15.60 | $15.60 | $34.14 | |
Cigna
| Professional | $34.18 | $34.18 | $34.18 | |
MVP Health Care
| Professional | $34.18 | $34.18 | $34.18 | |
United
| Professional | $28.14 | $30.01 | $90.36 |