| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.70 | $17.70 | $17.70 | |
Aetna
| Professional | $12.90 | $17.70 | $42.56 | |
Cigna
| Professional | $11.55 | $11.55 | $11.55 | |
MVP Health Care
| Professional | $11.55 | $11.55 | $19.20 | |
United
| Professional | $15.00 | $21.00 | $175.89 |