| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.08 | $7.08 | $81.28 | |
Cigna
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $95.50 | $95.50 | $120.23 | |
MVP Health Care
| Facility | $83.18 | $83.18 | $83.18 | |
United
| Facility | $29.51 | $29.51 | $29.51 | |
United
| Professional | $36.31 | $50.12 | $128.82 |