| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.28 | $10.28 | $10.28 | |
Aetna
| Professional | $7.62 | $10.28 | $16.27 | |
Cigna
| Professional | $7.74 | $7.74 | $7.74 | |
MVP Health Care
| Professional | $7.74 | $7.74 | $12.87 | |
United
| Professional | $8.91 | $13.43 | $37.65 |