| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.51 | $120.51 | $120.51 | |
Aetna
| Professional | $97.58 | $121.47 | $156.03 | |
Cigna
| Professional | $118.23 | $136.30 | $342.88 | |
MVP Health Care
| Professional | $118.23 | $256.98 | $342.88 | |
United
| Professional | $110.71 | $147.50 | $309.79 |