| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $33.11 | $37.15 | |
Cigna
| Facility | $34.67 | $34.67 | $34.67 | |
Cigna
| Professional | $25.70 | $25.70 | $34.67 | |
MVP Health Care
| Professional | $47.86 | $60.26 | $74.13 | |
United
| Facility | $27.54 | $27.54 | $34.67 | |
United
| Professional | $21.38 | $42.66 | $128.82 |