| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.21 | $35.21 | $35.21 | |
Aetna
| Professional | $29.00 | $35.21 | $38.31 | |
Cigna
| Professional | $29.76 | $29.76 | $63.00 | |
MVP Health Care
| Professional | $29.76 | $29.76 | $63.00 | |
United
| Professional | $40.25 | $51.49 | $98.97 |