| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.79 | $42.63 | $42.63 | |
Cigna
| Facility | $37.90 | $37.90 | $46.83 | |
Cigna
| Professional | $32.22 | $37.00 | $46.83 | |
MVP Health Care
| Facility | $37.90 | $37.90 | $46.83 | |
MVP Health Care
| Professional | $32.22 | $37.90 | $46.83 | |
United
| Professional | $21.83 | $38.39 | $72.95 |