| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.65 | $40.65 | $40.65 | |
Cigna
| Facility | $38.35 | $47.41 | $79.02 | |
Cigna
| Professional | $40.65 | $40.65 | $79.02 | |
MVP Health Care
| Facility | $38.35 | $47.41 | $79.02 | |
MVP Health Care
| Professional | $40.65 | $40.65 | $79.02 | |
United
| Professional | $40.65 | $42.28 | $121.95 |