| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.25 | $35.02 | $46.90 | |
Cigna
| Facility | $54.06 | $54.06 | $70.95 | |
Cigna
| Professional | $45.95 | $54.06 | $70.95 | |
MVP Health Care
| Facility | $54.06 | $54.06 | $70.95 | |
MVP Health Care
| Professional | $54.06 | $54.06 | $70.95 | |
United
| Professional | $27.14 | $55.70 | $72.62 |