| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.48 | $41.48 | $47.86 | |
Cigna
| Facility | $48.15 | $48.15 | $62.47 | |
Cigna
| Professional | $35.15 | $48.15 | $49.59 | |
MVP Health Care
| Facility | $48.15 | $48.15 | $62.47 | |
MVP Health Care
| Professional | $35.15 | $48.15 | $49.59 | |
United
| Professional | $28.26 | $50.35 | $98.25 |