| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $138.04 | $138.04 | |
Aetna
| Professional | $28.18 | $33.11 | $33.88 | |
Cigna
| Facility | $58.88 | $58.88 | $58.88 | |
Cigna
| Professional | $18.62 | $18.62 | $35.48 | |
MVP Health Care
| Facility | $35.48 | $35.48 | $35.48 | |
MVP Health Care
| Professional | $35.48 | $35.48 | $47.86 | |
United
| Professional | $15.49 | $47.86 | $95.50 |