| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.85 | $28.86 | $225.05 | |
Cigna
| Facility | $58.58 | $58.58 | $58.58 | |
Cigna
| Professional | $78.65 | $78.65 | $78.65 | |
MVP Health Care
| Facility | $58.58 | $58.58 | $58.58 | |
MVP Health Care
| Professional | $22.75 | $22.75 | $78.65 | |
United
| Professional | $15.29 | $35.00 | $157.50 |