| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $83.18 | |
Aetna
| Professional | $23.99 | $61.66 | $93.33 | |
Cigna
| Professional | $30.90 | $87.10 | $165.96 | |
MVP Health Care
| Professional | $79.43 | $109.65 | $186.21 | |
United
| Professional | $26.92 | $70.79 | $120.23 |