| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.83 | $44.83 | $75.33 | |
Aetna
| Professional | $35.97 | $48.00 | $77.76 | |
Cigna
| Professional | $49.99 | $49.99 | $59.94 | |
MVP Health Care
| Professional | $49.99 | $74.93 | $144.47 | |
United
| Professional | $95.38 | $101.73 | $173.73 |