| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $28.84 | $42.66 | |
Cigna
| Facility | $58.88 | $58.88 | $58.88 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 | |
MVP Health Care
| Facility | $35.48 | $35.48 | $35.48 | |
MVP Health Care
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Professional | $15.49 | $35.48 | $81.28 |