| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.36 | $38.90 | $57.54 | |
Cigna
| Facility | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $46.77 | $46.77 | $46.77 | |
MVP Health Care
| Facility | $46.77 | $46.77 | $46.77 | |
MVP Health Care
| Professional | $46.77 | $46.77 | $46.77 | |
United
| Professional | $20.42 | $46.77 | $109.65 |