| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.78 | $44.13 | $299.64 | |
Cigna
| Facility | $78.00 | $78.00 | $78.00 | |
Cigna
| Professional | $80.27 | $88.11 | $107.04 | |
MVP Health Care
| Facility | $78.00 | $78.00 | $78.00 | |
MVP Health Care
| Professional | $34.35 | $88.11 | $107.04 | |
United
| Professional | $20.35 | $58.40 | $209.70 |