| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.57 | $51.65 | $51.65 | |
Cigna
| Facility | $48.02 | $48.02 | $48.02 | |
Cigna
| Professional | $40.82 | $48.02 | $49.46 | |
MVP Health Care
| Facility | $48.02 | $48.02 | $48.02 | |
MVP Health Care
| Professional | $48.02 | $48.02 | $49.46 | |
United
| Professional | $25.49 | $70.47 | $79.98 |