| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.81 | $24.81 | $30.74 | |
Cigna
| Facility | $34.89 | $34.89 | $34.89 | |
Cigna
| Professional | $18.73 | $25.47 | $37.19 | |
MVP Health Care
| Facility | $34.89 | $34.89 | $34.89 | |
MVP Health Care
| Professional | $18.73 | $34.89 | $37.19 | |
United
| Professional | $16.91 | $30.12 | $58.78 |