| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.29 | $36.29 | $41.87 | |
Cigna
| Facility | $43.76 | $43.76 | $43.76 | |
Cigna
| Professional | $37.20 | $37.20 | $37.20 | |
MVP Health Care
| Facility | $43.76 | $43.76 | $43.76 | |
MVP Health Care
| Professional | $37.20 | $37.20 | $37.20 | |
United
| Professional | $24.73 | $51.17 | $85.98 |