| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.42 | $48.56 | $48.56 | |
Cigna
| Facility | $251.75 | $251.75 | $251.75 | |
Cigna
| Professional | $48.56 | $48.56 | $251.75 | |
MVP Health Care
| Facility | $251.75 | $251.75 | $251.75 | |
MVP Health Care
| Professional | $48.56 | $48.56 | $251.75 | |
United
| Professional | $57.13 | $57.13 | $171.39 |