| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $46.77 | $83.18 | |
Cigna
| Facility | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $48.98 | $93.33 | $123.03 | |
MVP Health Care
| Facility | $50.12 | $50.12 | $50.12 | |
MVP Health Care
| Professional | $50.12 | $50.12 | $67.61 | |
United
| Professional | $21.88 | $67.61 | $134.90 |