| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.17 | $37.17 | $52.42 | |
Aetna
| Professional | $34.20 | $44.58 | $54.40 | |
Cigna
| Professional | $37.67 | $51.97 | $126.36 | |
MVP Health Care
| Professional | $46.29 | $70.12 | $126.36 | |
United
| Professional | $55.75 | $79.37 | $230.72 |