| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.59 | $78.59 | $78.59 | |
Aetna
| Professional | $78.59 | $95.21 | $126.95 | |
Cigna
| Professional | $82.05 | $133.51 | $204.26 | |
MVP Health Care
| Professional | $82.05 | $175.30 | $204.26 | |
United
| Professional | $101.83 | $111.52 | $233.73 |