| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $42.66 | $44.67 | |
Cigna
| Facility | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $46.77 | $79.43 | $107.15 | |
MVP Health Care
| Facility | $46.77 | $46.77 | $46.77 | |
MVP Health Care
| Professional | $46.77 | $46.77 | $58.88 | |
United
| Professional | $20.42 | $58.88 | $114.82 |