| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.45 | $52.45 | $63.17 | |
Cigna
| Facility | $37.95 | $37.95 | $37.95 | |
Cigna
| Professional | $27.70 | $37.95 | $123.48 | |
MVP Health Care
| Facility | $37.95 | $37.95 | $37.95 | |
MVP Health Care
| Professional | $27.70 | $37.95 | $123.48 | |
United
| Professional | $35.50 | $81.56 | $137.43 |