| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.89 | $102.98 | $102.98 | |
Cigna
| Facility | $100.30 | $100.30 | $100.30 | |
Cigna
| Professional | $85.26 | $100.30 | $103.31 | |
MVP Health Care
| Facility | $100.30 | $100.30 | $100.30 | |
MVP Health Care
| Professional | $100.30 | $100.30 | $103.31 | |
United
| Professional | $54.74 | $143.88 | $159.47 |