| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.92 | $37.40 | $47.54 | |
Cigna
| Facility | $43.15 | $43.15 | $56.64 | |
Cigna
| Professional | $36.68 | $43.15 | $56.64 | |
MVP Health Care
| Facility | $43.15 | $43.15 | $56.64 | |
MVP Health Care
| Professional | $43.15 | $43.15 | $56.64 | |
United
| Professional | $21.36 | $33.90 | $56.50 |