| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.98 | $60.24 | $65.34 | |
Cigna
| Facility | $64.23 | $64.23 | $79.36 | |
Cigna
| Professional | $54.60 | $54.60 | $54.60 | |
MVP Health Care
| Facility | $64.23 | $64.23 | $79.36 | |
United
| Professional | $31.58 | $65.02 | $95.62 |