| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.21 | $59.17 | $69.61 | |
Aetna
| Professional | $52.21 | $64.87 | $73.77 | |
Cigna
| Professional | $50.89 | $50.89 | $51.91 | |
MVP Health Care
| Professional | $50.89 | $50.89 | $97.05 | |
United
| Professional | $69.34 | $100.41 | $269.73 |