| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.00 | $51.00 | $51.00 | |
Cigna
| Facility | $48.12 | $56.37 | $93.95 | |
Cigna
| Professional | $51.00 | $51.00 | $93.95 | |
MVP Health Care
| Facility | $48.12 | $56.37 | $93.95 | |
MVP Health Care
| Professional | $51.00 | $51.00 | $93.95 | |
United
| Professional | $51.00 | $51.00 | $153.00 |