| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $25.12 | $39.81 | |
Cigna
| Facility | $48.98 | $48.98 | $48.98 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
MVP Health Care
| Facility | $29.51 | $29.51 | $29.51 | |
MVP Health Care
| Professional | $29.51 | $29.51 | $33.11 | |
United
| Professional | $12.88 | $30.20 | $67.61 |