| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.58 | $73.84 | $440.78 | |
Cigna
| Facility | $114.74 | $114.74 | $114.74 | |
Cigna
| Professional | $81.75 | $89.73 | $154.07 | |
MVP Health Care
| Facility | $114.74 | $114.74 | $114.74 | |
MVP Health Care
| Professional | $44.56 | $89.73 | $154.07 | |
United
| Professional | $29.94 | $83.37 | $158.38 |