| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.66 | $50.12 | $77.62 | |
Cigna
| Facility | $104.71 | $104.71 | $104.71 | |
Cigna
| Professional | $70.79 | $70.79 | $89.13 | |
MVP Health Care
| Facility | $61.66 | $61.66 | $61.66 | |
United
| Facility | $21.88 | $21.88 | $21.88 | |
United
| Professional | $26.92 | $37.15 | $95.50 |