| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.26 | $23.26 | $26.84 | |
Cigna
| Facility | $29.78 | $29.78 | $35.02 | |
Cigna
| Professional | $21.74 | $29.78 | $31.74 | |
MVP Health Care
| Facility | $29.78 | $29.78 | $35.02 | |
MVP Health Care
| Professional | $21.74 | $29.78 | $31.74 | |
United
| Professional | $15.85 | $35.81 | $55.09 |