| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.59 | $34.17 | $45.77 | |
Cigna
| Facility | $39.01 | $39.01 | $39.01 | |
Cigna
| Professional | $33.15 | $39.01 | $40.18 | |
MVP Health Care
| Facility | $39.01 | $39.01 | $39.01 | |
MVP Health Care
| Professional | $39.01 | $39.01 | $40.18 | |
United
| Professional | $20.00 | $48.78 | $70.86 |