| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $134.90 | $134.90 | |
Cigna
| Facility | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $64.57 | $64.57 | $79.43 | |
MVP Health Care
| Facility | $54.95 | $54.95 | $54.95 | |
United
| Facility | $19.50 | $19.50 | $19.50 | |
United
| Professional | $23.99 | $33.11 | $85.11 |