| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $16.98 | $44.67 | $61.66 | |
Cigna
| Professional | $21.88 | $57.54 | $81.28 | |
MVP Health Care
| Professional | $22.39 | $23.44 | $53.70 | |
United
| Professional | $13.49 | $25.12 | $72.44 |