| 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 | $354.81 | |
Cigna
| Professional | $120.23 | $181.97 | $245.47 | |
MVP Health Care
| Professional | $181.97 | $181.97 | $181.97 | |
United
| Professional | $50.12 | $54.95 | $87.10 |