| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.96 | $29.96 | $83.50 | |
Aetna
| Professional | $26.46 | $61.52 | $83.50 | |
Cigna
| Professional | $30.79 | $86.32 | $174.23 | |
MVP Health Care
| Professional | $33.70 | $93.94 | $174.23 | |
United
| Professional | $74.39 | $111.58 | $318.10 |