| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.26 | $92.55 | $100.19 | |
Aetna
| Professional | $36.25 | $80.65 | $236.00 | |
Aetna
| Professional | 25 | $75.91 | $81.42 | $266.29 |
Cigna
| Professional | $76.77 | $107.46 | $191.37 | |
MVP Health Care
| Professional | $81.70 | $114.91 | $191.37 | |
United
| Professional | $88.71 | $123.40 | $244.17 |