| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.18 | $39.18 | $39.18 | |
Cigna
| Facility | $52.89 | $52.89 | $52.89 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
MVP Health Care
| Facility | $52.89 | $52.89 | $52.89 | |
MVP Health Care
| Professional | $20.54 | $36.34 | $45.43 | |
United
| Professional | $18.96 | $18.96 | $44.24 |