| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.04 | $84.04 | $84.04 | |
Aetna
| Professional | $68.75 | $85.05 | $110.42 | |
Cigna
| Professional | $86.38 | $110.52 | $228.22 | |
MVP Health Care
| Professional | $86.38 | $177.37 | $228.22 | |
United
| Professional | $88.11 | $108.82 | $190.46 |