| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.10 | $35.42 | $35.42 | |
Cigna
| Facility | $217.97 | $217.97 | $217.97 | |
Cigna
| Professional | $42.84 | $146.08 | $147.93 | |
MVP Health Care
| Facility | $217.97 | $217.97 | $217.97 | |
MVP Health Care
| Professional | $87.03 | $146.08 | $147.93 |