| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.91 | $29.91 | $29.91 | |
Cigna
| Facility | $27.70 | $27.70 | $46.16 | |
Cigna
| Professional | $29.91 | $29.91 | $46.16 | |
MVP Health Care
| Facility | $27.70 | $27.70 | $46.16 | |
MVP Health Care
| Professional | $29.91 | $29.91 | $46.16 | |
United
| Professional | $29.91 | $29.91 | $89.73 |