| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.28 | $40.29 | $76.61 | |
Cigna
| Facility | $34.63 | $49.33 | $82.21 | |
Cigna
| Professional | $40.29 | $40.29 | $82.21 | |
MVP Health Care
| Facility | $34.63 | $49.33 | $82.21 | |
MVP Health Care
| Professional | $40.29 | $40.29 | $82.21 | |
United
| Professional | $40.29 | $45.55 | $93.09 |