| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.32 | $33.69 | $48.09 | |
Cigna
| Facility | $23.58 | $27.97 | $46.62 | |
Cigna
| Professional | $30.32 | $30.32 | $30.32 | |
MVP Health Care
| Facility | $23.58 | $27.97 | $46.62 | |
MVP Health Care
| Professional | $30.32 | $30.32 | $30.32 | |
United
| Professional | $30.32 | $32.14 | $46.64 |