| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.98 | $88.38 | $88.38 | |
Cigna
| Facility | $96.42 | $96.42 | $96.42 | |
Cigna
| Professional | $81.96 | $96.42 | $96.42 | |
MVP Health Care
| Facility | $96.42 | $96.42 | $96.42 | |
MVP Health Care
| Professional | $96.42 | $96.42 | $96.42 | |
United
| Professional | $50.50 | $89.87 | $130.52 |