| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.66 | $153.66 | $153.66 | |
Aetna
| Professional | $125.66 | $154.47 | $200.81 | |
Cigna
| Professional | $151.34 | $186.08 | $395.80 | |
MVP Health Care
| Professional | $151.34 | $325.58 | $395.80 | |
United
| Professional | $143.57 | $204.94 | $257.30 |