| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.00 | $59.00 | $59.00 | |
Aetna
| Professional | $43.00 | $59.00 | $64.40 | |
Cigna
| Professional | $38.22 | $38.22 | $38.22 | |
MVP Health Care
| Professional | $38.22 | $38.22 | $63.55 | |
United
| Professional | $49.40 | $72.80 | $265.70 |