| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.94 | $44.92 | $44.92 | |
Cigna
| Facility | $39.94 | $39.94 | $39.94 | |
Cigna
| Professional | $33.95 | $38.92 | $41.14 | |
MVP Health Care
| Facility | $39.94 | $39.94 | $39.94 | |
MVP Health Care
| Professional | $33.95 | $39.94 | $41.14 | |
United
| Professional | $22.11 | $40.44 | $76.84 |