| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.72 | $40.72 | $46.99 | |
Cigna
| Facility | $61.33 | $65.20 | $79.79 | |
Cigna
| Professional | $47.09 | $59.83 | $69.53 | |
MVP Health Care
| Facility | $61.33 | $65.20 | $79.79 | |
MVP Health Care
| Professional | $47.09 | $65.20 | $79.79 | |
United
| Professional | $27.75 | $49.43 | $96.47 |