| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.33 | $73.33 | $73.33 | |
Cigna
| Facility | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $26.11 | $30.72 | $31.64 | |
MVP Health Care
| Facility | $30.72 | $30.72 | $30.72 | |
MVP Health Care
| Professional | $30.72 | $30.72 | $31.64 |