| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $47.86 | $54.95 | |
Cigna
| Facility | $50.12 | $50.12 | $64.57 | |
Cigna
| Professional | $37.15 | $37.15 | $50.12 | |
MVP Health Care
| Professional | $69.18 | $87.10 | $107.15 | |
United
| Facility | $44.67 | $53.70 | $64.57 | |
United
| Professional | $30.90 | $66.07 | $186.21 |