| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.88 | $43.51 | $58.27 | |
Cigna
| Facility | $44.10 | $44.10 | $44.10 | |
Cigna
| Professional | $37.49 | $44.10 | $45.42 | |
MVP Health Care
| Facility | $44.10 | $44.10 | $44.10 | |
MVP Health Care
| Professional | $44.10 | $44.10 | $45.42 | |
United
| Professional | $29.32 | $58.94 | $82.20 |