| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.35 | $122.35 | $122.35 | |
Aetna
| Professional | $107.11 | $122.35 | $122.35 | |
Cigna
| Professional | $94.28 | $156.49 | $388.81 | |
MVP Health Care
| Professional | $117.32 | $160.56 | $255.18 | |
United
| Professional | $147.50 | $160.27 | $465.92 |