| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.97 | $40.97 | $47.27 | |
Cigna
| Facility | $55.83 | $55.83 | $61.71 | |
Cigna
| Professional | $40.76 | $40.76 | $41.32 | |
MVP Health Care
| Facility | $55.83 | $55.83 | $61.71 | |
MVP Health Care
| Professional | $40.76 | $40.76 | $41.32 | |
United
| Professional | $27.93 | $49.73 | $97.05 |