| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $37.15 | $57.54 | |
Cigna
| Facility | $44.67 | $44.67 | $54.95 | |
Cigna
| Professional | $38.02 | $38.02 | $100.00 | |
MVP Health Care
| Professional | $53.70 | $63.10 | $93.33 | |
United
| Facility | $38.02 | $38.02 | $45.71 | |
United
| Professional | $22.39 | $57.54 | $141.25 |