| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.91 | $29.91 | $37.07 | |
Cigna
| Facility | $35.07 | $35.07 | $35.07 | |
Cigna
| Professional | $23.54 | $25.73 | $37.39 | |
MVP Health Care
| Facility | $35.07 | $35.07 | $35.07 | |
MVP Health Care
| Professional | $23.54 | $35.07 | $37.39 | |
United
| Professional | $20.39 | $36.32 | $70.87 |