| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $43.65 | $48.98 | |
Cigna
| Facility | $48.98 | $48.98 | $61.66 | |
Cigna
| Professional | $35.48 | $35.48 | $52.48 | |
MVP Health Care
| Professional | $66.07 | $75.86 | $104.71 | |
United
| Facility | $19.95 | $39.81 | $61.66 | |
United
| Professional | $28.84 | $63.10 | $173.78 |