| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.81 | $93.55 | $471.77 | |
Cigna
| Facility | $122.80 | $122.80 | $122.80 | |
Cigna
| Professional | $36.01 | $85.62 | $164.61 | |
MVP Health Care
| Facility | $122.80 | $122.80 | $122.80 | |
MVP Health Care
| Professional | $36.01 | $85.62 | $164.61 | |
United
| Professional | $32.04 | $75.44 | $169.51 |