| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.69 | $10.69 | $20.41 | |
Aetna
| Professional | $7.80 | $15.16 | $30.45 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
MVP Health Care
| Professional | $15.77 | $15.77 | $25.32 | |
United
| Professional | $17.48 | $26.29 | $74.68 |