| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.99 | $29.99 | $34.61 | |
Cigna
| Facility | $35.97 | $35.97 | $45.17 | |
Cigna
| Professional | $26.26 | $35.97 | $37.04 | |
MVP Health Care
| Facility | $35.97 | $35.97 | $45.17 | |
MVP Health Care
| Professional | $26.26 | $35.97 | $37.04 | |
United
| Professional | $27.68 | $48.97 | $51.11 |