| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.87 | $79.87 | $79.87 | |
Cigna
| Facility | $107.82 | $107.82 | $107.82 | |
Cigna
| Professional | $73.93 | $73.93 | $92.41 | |
MVP Health Care
| Facility | $107.82 | $107.82 | $107.82 | |
MVP Health Care
| Professional | $41.87 | $73.93 | $92.41 | |
United
| Professional | $38.65 | $38.65 | $99.08 |