| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.14 | $18.14 | $18.14 | |
Aetna
| Professional | $15.48 | $18.14 | $19.72 | |
Cigna
| Professional | $15.77 | $15.77 | $33.75 | |
MVP Health Care
| Professional | $15.77 | $15.77 | $33.75 | |
United
| Professional | $19.63 | $26.54 | $52.11 |