| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.99 | $27.99 | $49.17 | |
Cigna
| Facility | $22.33 | $23.06 | $38.43 | |
Cigna
| Professional | $26.91 | $27.99 | $38.43 | |
MVP Health Care
| Facility | $22.33 | $23.06 | $38.43 | |
MVP Health Care
| Professional | $26.91 | $27.99 | $38.43 | |
United
| Professional | $27.99 | $37.51 | $82.36 |