| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.07 | $33.57 | $33.57 | |
Cigna
| Facility | $35.11 | $35.11 | $35.11 | |
Cigna
| Professional | $29.84 | $35.11 | $36.15 | |
MVP Health Care
| Facility | $35.11 | $35.11 | $35.11 | |
MVP Health Care
| Professional | $35.11 | $35.11 | $36.15 | |
United
| Professional | $17.98 | $39.60 | $46.48 |