| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.10 | $51.10 | $58.96 | |
Cigna
| Facility | $59.89 | $59.89 | $59.89 | |
Cigna
| Professional | $43.72 | $59.52 | $61.69 | |
MVP Health Care
| Facility | $59.89 | $59.89 | $59.89 | |
MVP Health Care
| Professional | $43.72 | $59.89 | $61.69 | |
United
| Professional | $43.41 | $83.43 | $87.07 |