| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.53 | $31.51 | $31.51 | |
Cigna
| Facility | $36.74 | $36.74 | $36.74 | |
Cigna
| Professional | $31.23 | $36.74 | $37.84 | |
MVP Health Care
| Facility | $36.74 | $36.74 | $36.74 | |
MVP Health Care
| Professional | $36.74 | $36.74 | $37.84 | |
United
| Professional | $18.41 | $39.49 | $48.78 |