| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.67 | $27.67 | $36.63 | |
Aetna
| Professional | $23.90 | $31.28 | $41.10 | |
Cigna
| Professional | $26.39 | $36.20 | $73.25 | |
MVP Health Care
| Professional | $26.39 | $43.08 | $81.14 | |
United
| Professional | $46.00 | $49.07 | $143.41 |