| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $51.29 | $64.57 | |
Cigna
| Facility | $89.13 | $89.13 | $89.13 | |
Cigna
| Professional | $60.26 | $60.26 | $75.86 | |
MVP Health Care
| Facility | $52.48 | $52.48 | $52.48 | |
United
| Facility | $18.62 | $18.62 | $18.62 | |
United
| Professional | $22.91 | $31.62 | $81.28 |