| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.92 | $33.92 | $33.92 | |
Cigna
| Facility | $32.00 | $38.40 | $64.00 | |
Cigna
| Professional | $33.92 | $33.92 | $64.00 | |
MVP Health Care
| Facility | $32.00 | $38.40 | $64.00 | |
MVP Health Care
| Professional | $33.92 | $33.92 | $64.00 | |
United
| Professional | $33.92 | $33.92 | $101.76 |