| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.05 | $50.05 | $57.75 | |
Cigna
| Facility | $59.87 | $59.87 | $75.38 | |
Cigna
| Professional | $43.71 | $59.87 | $63.83 | |
MVP Health Care
| Facility | $59.87 | $59.87 | $75.38 | |
MVP Health Care
| Professional | $43.71 | $59.87 | $63.83 | |
United
| Professional | $34.11 | $63.16 | $118.57 |