| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $95.50 | |
Aetna
| Professional | $67.61 | $81.28 | $109.65 | |
Cigna
| Professional | $30.90 | $47.86 | $123.03 | |
MVP Health Care
| Professional | $61.66 | $107.15 | $194.98 | |
United
| Professional | $79.43 | $112.20 | $194.98 |