| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.59 | $43.59 | $50.30 | |
Cigna
| Facility | $43.58 | $43.58 | $65.65 | |
Cigna
| Professional | $31.81 | $43.58 | $44.89 | |
MVP Health Care
| Facility | $43.58 | $43.58 | $65.65 | |
MVP Health Care
| Professional | $31.81 | $43.58 | $44.89 | |
United
| Facility | $44.00 | $44.00 | $44.00 | |
United
| Professional | $29.70 | $47.74 | $103.27 |