| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.85 | $30.93 | $45.53 | |
Cigna
| Facility | $22.17 | $23.01 | $38.34 | |
Cigna
| Professional | $27.85 | $27.85 | $27.85 | |
MVP Health Care
| Facility | $22.17 | $23.01 | $38.34 | |
MVP Health Care
| Professional | $27.85 | $27.85 | $27.85 | |
United
| Professional | $26.46 | $29.52 | $73.12 |