| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $48.98 | $91.20 | |
Aetna
| Professional | $40.74 | $67.61 | $97.72 | |
Cigna
| Professional | $52.48 | $89.13 | $162.18 | |
MVP Health Care
| Professional | $95.50 | $112.20 | $218.78 | |
United
| Professional | $48.98 | $93.33 | $186.21 |