| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.01 | $41.82 | $48.26 | |
Cigna
| Facility | $69.70 | $69.70 | $69.70 | |
Cigna
| Professional | $49.01 | $59.25 | $71.79 | |
MVP Health Care
| Facility | $69.70 | $69.70 | $69.70 | |
MVP Health Care
| Professional | $49.01 | $69.70 | $71.79 | |
United
| Professional | $28.50 | $58.96 | $99.07 |