| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.07 | $70.79 | $117.49 | |
Cigna
| Facility | $144.54 | $144.54 | $144.54 | |
Cigna
| Professional | $131.83 | $131.83 | $165.96 | |
MVP Health Care
| Facility | $114.82 | $114.82 | $114.82 | |
United
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Professional | $37.15 | $57.54 | $147.91 |