| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.85 | $42.60 | $58.09 | |
Cigna
| Facility | $44.23 | $44.23 | $44.23 | |
Cigna
| Professional | $37.60 | $44.23 | $150.86 | |
MVP Health Care
| Facility | $44.23 | $44.23 | $44.23 | |
MVP Health Care
| Professional | $37.60 | $44.23 | $150.86 | |
United
| Professional | $22.42 | $65.18 | $130.38 |