| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $104.71 | $257.04 | |
Cigna
| Facility | $117.49 | $117.49 | $117.49 | |
Cigna
| Professional | $41.69 | $93.33 | $128.82 | |
MVP Health Care
| Facility | $70.79 | $70.79 | $70.79 | |
MVP Health Care
| Professional | $70.79 | $70.79 | $87.10 | |
United
| Professional | $30.90 | $87.10 | $190.55 |