| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.93 | $83.93 | $83.93 | |
Aetna
| Professional | $61.06 | $68.89 | $381.67 | |
Cigna
| Professional | $61.30 | $61.30 | $77.43 | |
MVP Health Care
| Professional | $61.30 | $68.52 | $113.87 | |
United
| Professional | $71.31 | $101.88 | $158.35 |