| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $39.81 | $44.67 | $316.23 | |
Cigna
| Facility | $38.02 | $45.71 | $45.71 | |
Cigna
| Professional | $39.81 | $39.81 | $45.71 | |
MVP Health Care
| Professional | $117.49 | $117.49 | $117.49 | |
United
| Professional | $39.81 | $39.81 | $87.10 |