| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.47 | $131.47 | $131.47 | |
Aetna
| Professional | $123.06 | $131.47 | $186.22 | |
Cigna
| Professional | $151.09 | $224.76 | $275.97 | |
MVP Health Care
| Professional | $189.80 | $275.97 | $275.97 | |
United
| Professional | $167.64 | $230.78 | $678.65 |