| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $58.88 | $72.44 | $91.20 | |
Cigna
| Professional | $77.62 | $93.33 | $162.18 | |
MVP Health Care
| Professional | $169.82 | $169.82 | $223.87 | |
United
| Professional | $70.79 | $109.65 | $229.09 |