| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.45 | $112.44 | $112.44 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $102.00 | $120.00 | $152.31 | |
MVP Health Care
| Facility | $120.00 | $120.00 | $120.00 | |
MVP Health Care
| Professional | $102.00 | $120.00 | $152.31 | |
United
| Professional | $50.42 | $106.19 | $192.18 |