| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.57 | $51.68 | $51.68 | |
Cigna
| Facility | $44.33 | $44.33 | $44.33 | |
Cigna
| Professional | $37.68 | $37.68 | $37.68 | |
MVP Health Care
| Facility | $44.33 | $44.33 | $44.33 | |
United
| Professional | $29.30 | $55.84 | $76.30 |