| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $57.54 | $72.44 | |
Cigna
| Facility | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $67.61 | $81.28 | $154.88 | |
MVP Health Care
| Facility | $69.18 | $69.18 | $69.18 | |
MVP Health Care
| Professional | $58.88 | $69.18 | $69.18 | |
United
| Professional | $30.20 | $58.88 | $158.49 |