| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $30.20 | $44.67 | $794.33 | |
Cigna
| Professional | $323.59 | $489.78 | $660.69 | |
MVP Health Care
| Professional | $407.38 | $407.38 | $407.38 | |
United
| Professional | $50.12 | $54.95 | $87.10 |