| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $54.95 | |
Aetna
| Professional | $32.36 | $41.69 | $54.95 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
MVP Health Care
| Professional | $48.98 | $48.98 | $48.98 | |
United
| Professional | $18.62 | $19.50 | $60.26 |