| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.23 | $50.23 | $60.51 | |
Cigna
| Facility | $47.13 | $47.13 | $47.13 | |
Cigna
| Professional | $34.40 | $47.13 | $118.19 | |
MVP Health Care
| Facility | $47.13 | $47.13 | $47.13 | |
MVP Health Care
| Professional | $34.40 | $47.13 | $118.19 | |
United
| Professional | $34.04 | $78.12 | $131.43 |