| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $72.44 | |
Aetna
| Professional | $16.98 | $52.48 | $81.28 | |
Cigna
| Professional | $21.38 | $75.86 | $151.36 | |
MVP Health Care
| Professional | $69.18 | $95.50 | $162.18 | |
United
| Professional | $18.20 | $61.66 | $104.71 |