| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.40 | $60.40 | $60.40 | |
Aetna
| Professional | $55.16 | $66.34 | $88.47 | |
Cigna
| Professional | $62.88 | $83.39 | $142.21 | |
MVP Health Care
| Professional | $62.88 | $123.48 | $142.21 | |
United
| Professional | $70.97 | $82.48 | $102.97 |