| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.20 | $106.20 | $106.20 | |
Aetna
| Professional | $77.40 | $106.20 | $106.96 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
MVP Health Care
| Professional | $68.73 | $68.73 | $114.29 | |
United
| Professional | $98.70 | $131.60 | $441.29 |