| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.89 | $7.89 | $7.89 | |
Cigna
| Facility | $140.18 | $140.18 | $140.18 | |
Cigna
| Professional | $96.23 | $96.23 | $120.29 | |
MVP Health Care
| Facility | $140.18 | $140.18 | $140.18 | |
MVP Health Care
| Professional | $54.44 | $96.23 | $120.29 | |
United
| Professional | $50.26 | $50.26 | $117.26 |