| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.52 | $33.52 | $52.63 | |
Cigna
| Facility | $58.74 | $58.74 | $58.74 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
MVP Health Care
| Facility | $58.74 | $58.74 | $58.74 | |
MVP Health Care
| Professional | $18.45 | $18.45 | $25.34 | |
United
| Professional | $15.33 | $49.13 | $81.06 |