| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $42.66 | $50.12 | |
Cigna
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Professional | $33.88 | $33.88 | $39.81 | |
MVP Health Care
| Professional | $52.48 | $64.57 | $66.07 | |
United
| Facility | $25.70 | $25.70 | $30.20 | |
United
| Professional | $21.88 | $40.74 | $138.04 |