| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $87.10 | |
Aetna
| Professional | $56.23 | $72.44 | $177.83 | |
Aetna
| Professional | 25 | $69.18 | $181.97 | $208.93 |
Cigna
| Professional | $61.66 | $95.50 | $295.12 | |
MVP Health Care
| Professional | $77.62 | $100.00 | $125.89 | |
United
| Professional | $69.18 | $100.00 | $162.18 |