| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.51 | $34.15 | $34.15 | |
Cigna
| Facility | $37.90 | $37.90 | $37.90 | |
Cigna
| Professional | $32.22 | $37.90 | $39.04 | |
MVP Health Care
| Facility | $37.90 | $37.90 | $37.90 | |
MVP Health Care
| Professional | $37.90 | $37.90 | $39.04 | |
United
| Professional | $19.21 | $39.90 | $52.91 |