| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.20 | $24.20 | $24.20 | |
Aetna
| Professional | $13.05 | $17.98 | $24.20 | |
Cigna
| Professional | $15.37 | $25.51 | $78.90 | |
MVP Health Care
| Professional | $23.91 | $30.97 | $57.29 | |
United
| Professional | $32.47 | $33.72 | $96.84 |