| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.00 | $29.99 | $43.04 | |
Cigna
| Facility | $24.65 | $30.66 | $51.09 | |
Cigna
| Professional | $27.00 | $27.00 | $27.00 | |
MVP Health Care
| Facility | $24.65 | $30.66 | $51.09 | |
MVP Health Care
| Professional | $27.00 | $27.00 | $27.00 | |
United
| Professional | $27.00 | $27.00 | $41.53 |