| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.52 | $28.52 | $34.51 | |
Cigna
| Facility | $26.90 | $26.90 | $26.90 | |
Cigna
| Professional | $28.52 | $28.52 | $28.52 | |
MVP Health Care
| Facility | $26.90 | $26.90 | $26.90 | |
MVP Health Care
| Professional | $28.52 | $28.52 | $28.52 | |
United
| Professional | $28.52 | $30.23 | $65.89 |