| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $309.03 | $363.08 | |
Aetna
| Professional | $263.03 | $331.13 | $416.87 | |
Cigna
| Professional | $380.19 | $380.19 | $537.03 | |
MVP Health Care
| Professional | $380.19 | $512.86 | $707.95 | |
United
| Professional | $281.84 | $407.38 | $707.95 |