| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.54 | $38.54 | $38.54 | |
Cigna
| Facility | $36.36 | $57.14 | $95.24 | |
Cigna
| Professional | $38.54 | $38.54 | $95.24 | |
MVP Health Care
| Facility | $36.36 | $57.14 | $95.24 | |
MVP Health Care
| Professional | $38.54 | $38.54 | $95.24 | |
United
| Professional | $38.54 | $38.54 | $115.62 |