| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $37.15 | $48.98 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Cigna
| Professional | $35.48 | $35.48 | $61.66 | |
MVP Health Care
| Professional | $389.05 | $389.05 | $389.05 | |
United
| Professional | $39.81 | $63.10 | $112.20 |