| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.90 | $58.28 | $58.28 | |
Cigna
| Facility | $78.67 | $78.67 | $78.67 | |
MVP Health Care
| Facility | $78.67 | $78.67 | $78.67 | |
MVP Health Care
| Professional | $30.55 | $30.55 | $30.55 | |
United
| Professional | $20.53 | $47.00 | $211.50 |