| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $20.89 | $20.89 | |
Aetna
| Professional | $14.13 | $19.95 | $25.12 | |
Cigna
| Professional | $15.14 | $15.14 | $24.55 | |
MVP Health Care
| Professional | $17.78 | $22.91 | $40.74 | |
United
| Professional | $12.88 | $18.62 | $38.02 |