| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.84 | $69.41 | $91.54 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $55.25 | $65.00 | $82.64 | |
MVP Health Care
| Facility | $65.00 | $65.00 | $65.00 | |
MVP Health Care
| Professional | $55.25 | $65.00 | $114.08 | |
United
| Professional | $33.21 | $74.03 | $142.36 |