| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $37.15 | $42.66 | |
Cigna
| Facility | $32.36 | $41.69 | $41.69 | |
Cigna
| Professional | $38.02 | $38.02 | $47.86 | |
MVP Health Care
| Professional | $47.86 | $47.86 | $47.86 | |
United
| Professional | $38.02 | $39.81 | $77.62 |