| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.00 | $135.00 | $135.00 | |
Cigna
| Facility | $92.96 | $92.96 | $92.96 | |
Cigna
| Professional | $64.02 | $64.02 | $80.02 | |
MVP Health Care
| Facility | $92.96 | $92.96 | $92.96 | |
MVP Health Care
| Professional | $36.10 | $64.02 | $80.02 | |
United
| Professional | $33.32 | $33.32 | $77.76 |