| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.56 | $43.51 | $43.51 | |
Cigna
| Facility | $58.74 | $58.74 | $58.74 | |
MVP Health Care
| Facility | $58.74 | $58.74 | $58.74 | |
MVP Health Care
| Professional | $22.81 | $22.81 | $22.81 | |
United
| Professional | $15.33 | $35.09 | $81.06 |