| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.57 | $33.61 | $44.32 | |
Cigna
| Facility | $76.89 | $76.89 | $76.89 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
MVP Health Care
| Facility | $76.89 | $76.89 | $76.89 | |
MVP Health Care
| Professional | $33.71 | $33.71 | $33.71 | |
United
| Professional | $32.46 | $35.97 | $55.33 |