| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.76 | $25.77 | $215.97 | |
Cigna
| Facility | $20.23 | $25.74 | $42.90 | |
Cigna
| Professional | $25.77 | $25.77 | $42.90 | |
MVP Health Care
| Facility | $20.23 | $25.74 | $42.90 | |
MVP Health Care
| Professional | $25.77 | $25.77 | $42.90 | |
United
| Professional | $25.77 | $28.86 | $77.31 |