| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.51 | $116.51 | $116.51 | |
Cigna
| Facility | $6.77 | $6.77 | $6.77 | |
Cigna
| Professional | $49.04 | $106.41 | $149.19 | |
MVP Health Care
| Facility | $6.77 | $6.77 | $6.77 | |
MVP Health Care
| Professional | $6.44 | $106.41 | $149.19 | |
United
| Professional | $1.05 | $88.18 | $205.76 |