| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.56 | $38.56 | $44.49 | |
Cigna
| Facility | $37.03 | $37.03 | $58.07 | |
Cigna
| Professional | $27.03 | $37.03 | $39.47 | |
MVP Health Care
| Facility | $37.03 | $37.03 | $58.07 | |
MVP Health Care
| Professional | $27.03 | $37.03 | $39.47 | |
United
| Professional | $26.28 | $46.80 | $91.34 |