| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.17 | $83.30 | $395.57 | |
Cigna
| Facility | $102.97 | $102.97 | $102.97 | |
Cigna
| Professional | $137.85 | $137.85 | $137.85 | |
MVP Health Care
| Facility | $102.97 | $102.97 | $102.97 | |
MVP Health Care
| Professional | $39.99 | $39.99 | $137.85 | |
United
| Professional | $26.87 | $61.52 | $142.13 |