| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.85 | $42.60 | $58.09 | |
Cigna
| Facility | $40.36 | $40.36 | $49.86 | |
Cigna
| Professional | $19.70 | $34.31 | $49.86 | |
MVP Health Care
| Facility | $40.36 | $40.36 | $49.86 | |
MVP Health Care
| Professional | $19.70 | $34.31 | $75.92 | |
United
| Professional | $17.13 | $62.58 | $134.66 |