| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $28.18 | $67.61 | |
Aetna
| Professional | $16.98 | $56.23 | $102.33 | |
Cigna
| Professional | $30.20 | $74.13 | $100.00 | |
MVP Health Care
| Professional | $81.28 | $102.33 | $141.25 | |
United
| Professional | $22.91 | $53.70 | $123.03 |