| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.31 | $39.31 | $39.31 | |
Cigna
| Facility | $37.09 | $128.03 | $503.48 | |
Cigna
| Professional | $39.31 | $39.31 | $128.03 | |
MVP Health Care
| Facility | $37.09 | $128.03 | $503.48 | |
MVP Health Care
| Professional | $39.31 | $39.31 | $128.03 | |
United
| Professional | $39.31 | $39.31 | $117.93 |