| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.75 | $32.75 | $39.45 | |
Cigna
| Facility | $49.68 | $49.68 | $49.68 | |
Cigna
| Professional | $36.27 | $49.68 | $76.87 | |
MVP Health Care
| Facility | $49.68 | $49.68 | $49.68 | |
MVP Health Care
| Professional | $36.27 | $49.68 | $76.87 | |
United
| Professional | $22.12 | $50.93 | $85.62 |