| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.94 | $26.94 | $29.93 | |
Cigna
| Facility | $25.42 | $26.32 | $43.86 | |
Cigna
| Professional | $26.94 | $26.94 | $43.86 | |
MVP Health Care
| Facility | $25.42 | $26.32 | $43.86 | |
MVP Health Care
| Professional | $26.94 | $26.94 | $43.86 | |
United
| Professional | $26.94 | $26.94 | $80.81 |