| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.46 | $34.10 | $34.10 | |
Cigna
| Facility | $35.56 | $35.56 | $46.67 | |
Cigna
| Professional | $30.23 | $35.56 | $46.67 | |
MVP Health Care
| Facility | $35.56 | $35.56 | $46.67 | |
MVP Health Care
| Professional | $35.56 | $35.56 | $46.67 | |
United
| Professional | $19.07 | $45.52 | $49.36 |