| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.87 | $49.87 | $91.02 | |
Aetna
| Professional | $42.52 | $61.06 | $105.86 | |
Cigna
| Professional | $47.07 | $90.10 | $181.78 | |
MVP Health Care
| Professional | $47.07 | $96.29 | $201.37 | |
United
| Professional | $114.17 | $117.03 | $362.52 |