| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.60 | $77.15 | $77.15 | |
Cigna
| Facility | $73.04 | $73.04 | $95.86 | |
Cigna
| Professional | $62.08 | $73.04 | $95.86 | |
MVP Health Care
| Facility | $73.04 | $73.04 | $95.86 | |
MVP Health Care
| Professional | $73.04 | $73.04 | $95.86 | |
United
| Facility | $6.52 | $48.89 | $65.18 | |
United
| Professional | $41.40 | $83.35 | $106.97 |