| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.86 | $97.86 | $97.86 | |
Aetna
| Professional | $68.48 | $97.86 | $113.52 | |
Cigna
| Professional | $23.06 | $23.06 | $27.62 | |
MVP Health Care
| Professional | $23.06 | $23.06 | $27.62 | |
United
| Professional | $97.72 | $142.41 | $217.22 |