| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $33.11 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $38.90 | $38.90 | $48.98 | |
MVP Health Care
| Facility | $33.88 | $33.88 | $33.88 | |
United
| Facility | $12.02 | $12.02 | $12.02 | |
United
| Professional | $14.79 | $20.89 | $53.70 |