| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $28.18 | $40.74 | |
Cigna
| Facility | $56.23 | $56.23 | $56.23 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
MVP Health Care
| Facility | $33.88 | $33.88 | $33.88 | |
MVP Health Care
| Professional | $33.88 | $33.88 | $33.88 | |
United
| Professional | $14.79 | $26.30 | $77.62 |