| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.00 | $48.00 | $48.00 | |
Aetna
| Professional | $32.50 | $48.00 | $162.00 | |
Cigna
| Professional | $45.00 | $70.50 | $101.30 | |
MVP Health Care
| Professional | $40.00 | $61.00 | $80.00 |