| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.63 | $37.94 | $37.94 | |
Cigna
| Facility | $54.85 | $54.85 | $54.85 | |
Cigna
| Professional | $15.78 | $37.58 | $46.98 | |
MVP Health Care
| Facility | $54.85 | $54.85 | $54.85 | |
MVP Health Care
| Professional | $15.78 | $37.58 | $46.98 | |
United
| Professional | $14.31 | $19.66 | $71.95 |