| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $46.77 | $77.62 | |
Cigna
| Facility | $85.11 | $85.11 | $85.11 | |
Cigna
| Professional | $30.20 | $67.61 | $95.50 | |
MVP Health Care
| Facility | $51.29 | $51.29 | $51.29 | |
MVP Health Care
| Professional | $51.29 | $51.29 | $63.10 | |
United
| Professional | $22.39 | $63.10 | $138.04 |