| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.04 | $42.04 | $48.51 | |
Cigna
| Facility | $50.36 | $50.36 | $63.32 | |
Cigna
| Professional | $36.76 | $50.36 | $53.68 | |
MVP Health Care
| Facility | $50.36 | $50.36 | $63.32 | |
MVP Health Care
| Professional | $36.76 | $50.36 | $53.68 | |
United
| Professional | $28.66 | $58.52 | $99.59 |