| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.47 | $19.47 | $23.46 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $50.22 | $58.57 | |
MVP Health Care
| Facility | $54.94 | $54.94 | $54.94 | |
MVP Health Care
| Professional | $40.11 | $54.94 | $58.57 | |
United
| Professional | $13.10 | $32.74 | $43.67 |