| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $114.82 | $120.23 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $123.03 | $234.42 | $309.03 | |
MVP Health Care
| Facility | $123.03 | $123.03 | $123.03 | |
MVP Health Care
| Professional | $123.03 | $123.03 | $169.82 | |
United
| Professional | $53.70 | $169.82 | $338.84 |