| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.02 | $40.78 | $40.78 | |
Cigna
| Facility | $49.54 | $49.54 | $49.54 | |
MVP Health Care
| Facility | $49.54 | $49.54 | $49.54 | |
MVP Health Care
| Professional | $21.38 | $21.38 | $21.38 | |
United
| Professional | $12.93 | $32.89 | $68.39 |