| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.01 | $54.01 | $80.12 | |
Aetna
| Professional | $38.47 | $58.40 | $80.12 | |
Cigna
| Professional | $57.14 | $57.14 | $57.14 | |
MVP Health Care
| Professional | $57.14 | $57.14 | $92.46 | |
United
| Professional | $70.34 | $93.80 | $189.99 |