| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $25.12 | $38.90 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $36.31 | $36.31 | $45.71 | |
MVP Health Care
| Facility | $31.62 | $31.62 | $31.62 | |
United
| Facility | $10.96 | $10.96 | $10.96 | |
United
| Professional | $13.80 | $19.05 | $44.67 |