| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.86 | $51.67 | $108.23 | |
Aetna
| Professional | 52 | $19.94 | $24.34 | $98.36 |
Cigna
| Professional | $133.19 | $133.19 | $133.19 | |
MVP Health Care
| Professional | $40.46 | $60.21 | $133.19 | |
United
| Professional | $42.49 | $79.58 | $149.63 |