| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.99 | $36.99 | $36.99 | |
Cigna
| Facility | $40.29 | $40.29 | $40.29 | |
Cigna
| Professional | $12.66 | $25.13 | $31.41 | |
MVP Health Care
| Facility | $40.29 | $40.29 | $40.29 | |
MVP Health Care
| Professional | $19.32 | $25.13 | $31.41 | |
United
| Professional | $14.45 | $18.50 | $43.18 |