| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.68 | $21.68 | $21.68 | |
Aetna
| Professional | $14.49 | $21.68 | $84.26 | |
Cigna
| Professional | $15.18 | $15.18 | $61.45 | |
MVP Health Care
| Professional | $15.18 | $15.18 | $61.45 | |
United
| Professional | $11.82 | $24.14 | $70.17 |