| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.24 | $83.89 | $318.86 | |
Cigna
| Facility | $82.99 | $82.99 | $82.99 | |
Cigna
| Professional | $93.08 | $102.17 | $124.06 | |
MVP Health Care
| Facility | $82.99 | $82.99 | $82.99 | |
MVP Health Care
| Professional | $39.79 | $102.17 | $124.06 | |
United
| Professional | $21.66 | $67.65 | $223.16 |