| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.96 | $54.86 | $54.86 | |
Cigna
| Facility | $48.69 | $48.69 | $48.69 | |
Cigna
| Professional | $41.39 | $48.69 | $50.15 | |
MVP Health Care
| Facility | $48.69 | $48.69 | $48.69 | |
MVP Health Care
| Professional | $48.69 | $48.69 | $50.15 | |
United
| Professional | $24.51 | $60.77 | $84.96 |