| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $83.18 | $93.33 | |
Cigna
| Facility | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $97.72 | $97.72 | $218.78 | |
MVP Health Care
| Facility | $97.72 | $97.72 | $97.72 | |
MVP Health Care
| Professional | $97.72 | $97.72 | $97.72 | |
United
| Professional | $42.66 | $97.72 | $223.87 |