| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.66 | $81.02 | $440.15 | |
Cigna
| Facility | $117.50 | $117.50 | $117.50 | |
Cigna
| Professional | $41.33 | $98.26 | $175.15 | |
MVP Health Care
| Facility | $117.50 | $117.50 | $117.50 | |
MVP Health Care
| Professional | $41.33 | $98.26 | $175.15 | |
United
| Professional | $30.66 | $75.00 | $162.19 |