| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.58 | $49.58 | $57.21 | |
Cigna
| Facility | $54.54 | $54.54 | $74.68 | |
Cigna
| Professional | $39.81 | $47.57 | $58.13 | |
MVP Health Care
| Facility | $54.54 | $54.54 | $74.68 | |
MVP Health Care
| Professional | $39.81 | $54.54 | $58.13 | |
United
| Professional | $33.79 | $60.19 | $117.47 |