| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.80 | $43.80 | $50.54 | |
Cigna
| Facility | $51.32 | $51.32 | $51.32 | |
Cigna
| Professional | $37.46 | $51.32 | $57.66 | |
MVP Health Care
| Facility | $51.32 | $51.32 | $51.32 | |
MVP Health Care
| Professional | $37.46 | $51.32 | $57.66 | |
United
| Professional | $37.21 | $67.45 | $103.76 |