| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.49 | $20.49 | $73.25 | |
Aetna
| Professional | $18.32 | $54.40 | $73.25 | |
Cigna
| Professional | $21.08 | $75.81 | $152.93 | |
MVP Health Care
| Professional | $23.05 | $78.76 | $152.93 | |
United
| Professional | $65.48 | $97.64 | $260.42 |