| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.19 | $37.19 | $42.92 | |
Cigna
| Facility | $62.01 | $62.01 | $62.01 | |
Cigna
| Professional | $52.71 | $52.71 | $63.87 | |
MVP Health Care
| Facility | $62.01 | $62.01 | $62.01 | |
MVP Health Care
| Professional | $52.71 | $62.01 | $63.87 | |
United
| Facility | $46.00 | $46.00 | $55.12 | |
United
| Professional | $25.35 | $52.45 | $88.11 |