| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $19.00 | $320.27 | |
Cigna
| Facility | $13.34 | $27.63 | $46.05 | |
Cigna
| Professional | $19.00 | $19.00 | $46.05 | |
MVP Health Care
| Facility | $13.34 | $27.63 | $46.05 | |
MVP Health Care
| Professional | $19.00 | $19.00 | $46.05 | |
United
| Professional | $19.00 | $20.14 | $57.00 |