| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.62 | $3.62 | $3.62 | |
Aetna
| Professional | $82.33 | $148.44 | $643.22 | |
Cigna
| Professional | $136.59 | $202.76 | $450.57 | |
MVP Health Care
| Professional | $137.51 | $196.98 | $425.26 | |
United
| Professional | $143.24 | $174.38 | $275.10 |