| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.61 | $33.61 | $33.61 | |
Cigna
| Facility | $45.37 | $45.37 | $45.37 | |
Cigna
| Professional | $31.39 | $31.39 | $39.24 | |
MVP Health Care
| Facility | $45.37 | $45.37 | $45.37 | |
MVP Health Care
| Professional | $17.62 | $31.39 | $39.24 | |
United
| Professional | $12.60 | $16.27 | $37.95 |