| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $26.92 | $36.31 | |
Aetna
| Professional | $22.91 | $28.84 | $37.15 | |
Cigna
| Professional | $28.84 | $38.90 | $66.07 | |
MVP Health Care
| Professional | $38.90 | $45.71 | $117.49 | |
United
| Professional | $26.92 | $38.02 | $74.13 |