| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.97 | $31.97 | $41.43 | |
Aetna
| Professional | $31.97 | $41.84 | $120.00 | |
Aetna
| Professional | 25 | $41.32 | $41.32 | $41.32 |
Cigna
| Professional | $30.50 | $49.47 | $83.42 | |
MVP Health Care
| Professional | $33.79 | $53.25 | $83.42 | |
United
| Professional | $47.52 | $59.95 | $120.11 |