| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.84 | $43.84 | $54.33 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $53.85 | $57.40 | |
MVP Health Care
| Facility | $53.85 | $53.85 | $53.85 | |
MVP Health Care
| Professional | $39.31 | $53.85 | $57.40 | |
United
| Professional | $28.66 | $57.33 | $103.76 |