| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.74 | $92.74 | $106.35 | |
Aetna
| Professional | $81.16 | $100.32 | $300.36 | |
Cigna
| Professional | $79.36 | $128.15 | $210.19 | |
MVP Health Care
| Professional | $93.38 | $140.93 | $210.19 | |
United
| Professional | $110.44 | $163.88 | $230.25 |