| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.16 | $15.16 | $15.16 | |
Aetna
| Professional | $1.00 | $1.00 | $1.10 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
MVP Health Care
| Professional | $10.81 | $10.81 | $10.81 | |
United
| Professional | $0.13 | $10.00 | $10.00 |