| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.50 | $18.50 | $33.75 | |
Aetna
| Professional | $17.07 | $21.44 | $34.39 | |
Cigna
| Professional | $18.94 | $32.43 | $79.98 | |
MVP Health Care
| Professional | $22.90 | $39.45 | $79.98 | |
United
| Professional | $36.93 | $50.25 | $146.07 |