| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.12 | $28.12 | $67.48 | |
Aetna
| Professional | $17.82 | $57.43 | $138.76 | |
Cigna
| Professional | $74.09 | $74.09 | $74.09 | |
MVP Health Care
| Professional | $74.09 | $74.09 | $112.33 | |
United
| Professional | $56.52 | $113.96 | $378.95 |