| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.00 | $36.00 | $36.00 | |
Cigna
| Facility | $115.36 | $115.36 | $115.36 | |
Cigna
| Professional | $79.30 | $79.30 | $99.12 | |
MVP Health Care
| Facility | $115.36 | $115.36 | $115.36 | |
MVP Health Care
| Professional | $52.67 | $79.30 | $99.12 | |
United
| Professional | $41.35 | $48.62 | $113.44 |