| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.15 | $48.15 | $55.55 | |
Cigna
| Facility | $59.82 | $59.82 | $72.51 | |
Cigna
| Professional | $43.67 | $59.82 | $63.77 | |
MVP Health Care
| Facility | $59.82 | $59.82 | $72.51 | |
MVP Health Care
| Professional | $43.67 | $59.82 | $63.77 | |
United
| Professional | $32.82 | $67.77 | $114.05 |