| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $60.26 | $104.71 | $125.89 | |
Cigna
| Professional | $83.18 | $83.18 | $295.12 | |
MVP Health Care
| Professional | $223.87 | $223.87 | $295.12 | |
United
| Professional | $104.71 | $158.49 | $239.88 |