| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.21 | $29.21 | $33.71 | |
Cigna
| Facility | $36.72 | $36.72 | $36.72 | |
Cigna
| Professional | $26.81 | $36.72 | $39.15 | |
MVP Health Care
| Facility | $36.72 | $36.72 | $36.72 | |
MVP Health Care
| Professional | $26.81 | $36.72 | $39.15 | |
United
| Professional | $19.89 | $35.45 | $69.19 |