| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.67 | $61.66 | $79.43 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Professional | $74.13 | $74.13 | $93.33 | |
MVP Health Care
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Facility | $22.39 | $22.39 | $22.39 | |
United
| Professional | $28.18 | $38.90 | $100.00 |