| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.04 | $60.45 | $80.95 | |
Cigna
| Facility | $66.45 | $66.45 | $88.97 | |
Cigna
| Professional | $56.49 | $66.45 | $88.97 | |
MVP Health Care
| Facility | $66.45 | $66.45 | $88.97 | |
MVP Health Care
| Professional | $66.45 | $66.45 | $88.97 | |
United
| Professional | $35.29 | $104.37 | $125.37 |