| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.80 | $43.80 | $50.54 | |
Cigna
| Facility | $57.03 | $57.03 | $57.03 | |
Cigna
| Professional | $39.88 | $44.02 | $58.74 | |
MVP Health Care
| Facility | $57.03 | $57.03 | $57.03 | |
MVP Health Care
| Professional | $39.88 | $57.03 | $58.74 | |
United
| Professional | $29.85 | $53.17 | $103.76 |