| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.30 | $104.13 | $376.09 | |
Cigna
| Facility | $97.90 | $97.90 | $97.90 | |
Cigna
| Professional | $131.36 | $131.36 | $131.36 | |
MVP Health Care
| Facility | $97.90 | $97.90 | $97.90 | |
MVP Health Care
| Professional | $38.02 | $38.02 | $131.36 | |
United
| Professional | $25.55 | $58.49 | $135.13 |