| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.89 | $39.89 | $43.11 | |
Aetna
| Professional | $30.07 | $39.89 | $52.05 | |
Cigna
| Professional | $28.57 | $28.57 | $117.29 | |
MVP Health Care
| Professional | $28.57 | $28.73 | $117.29 | |
United
| Professional | $28.65 | $46.24 | $134.43 |