| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.35 | $78.55 | $329.92 | |
Cigna
| Facility | $85.88 | $85.88 | $85.88 | |
Cigna
| Professional | $30.18 | $71.76 | $128.12 | |
MVP Health Care
| Facility | $85.88 | $85.88 | $85.88 | |
MVP Health Care
| Professional | $30.18 | $71.76 | $128.12 | |
United
| Professional | $22.41 | $71.83 | $230.90 |