| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.39 | $32.39 | $37.36 | |
Cigna
| Facility | $40.77 | $40.77 | $48.77 | |
Cigna
| Professional | $29.76 | $29.76 | $38.92 | |
MVP Health Care
| Facility | $40.77 | $40.77 | $48.77 | |
MVP Health Care
| Professional | $29.76 | $29.76 | $38.92 | |
United
| Professional | $22.08 | $39.31 | $76.73 |