| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.54 | $125.54 | $125.54 |
Aetna
| Professional | $321.85 | $345.20 | $370.47 | |
Cigna
| Professional | $279.72 | $525.04 | $1,484.60 | |
MVP Health Care
| Professional | $272.73 | $555.41 | $900.28 | |
United
| Professional | $347.23 | $557.10 | $1,619.54 |