| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.97 | $31.86 | $42.00 | |
Cigna
| Facility | $72.84 | $72.84 | $72.84 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
MVP Health Care
| Facility | $72.84 | $72.84 | $72.84 | |
MVP Health Care
| Professional | $31.94 | $31.94 | $31.94 | |
United
| Professional | $28.37 | $32.38 | $34.08 |