| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.13 | $56.13 | $56.13 | |
Aetna
| Professional | $46.23 | $56.13 | $60.72 | |
Cigna
| Professional | $49.10 | $49.10 | $99.75 | |
MVP Health Care
| Professional | $49.10 | $49.10 | $99.75 | |
United
| Professional | $56.20 | $81.00 | $160.22 |