| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.78 | $85.78 | $85.78 | |
Aetna
| Professional | $67.95 | $86.64 | $108.68 | |
Cigna
| Professional | $82.01 | $85.12 | $218.30 | |
MVP Health Care
| Professional | $85.12 | $180.99 | $218.30 | |
United
| Professional | $63.51 | $92.05 | $126.84 |