| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.23 | $95.39 | $127.76 | |
Cigna
| Facility | $115.51 | $115.51 | $151.61 | |
Cigna
| Professional | $98.18 | $115.51 | $151.61 | |
MVP Health Care
| Facility | $115.51 | $115.51 | $151.61 | |
MVP Health Care
| Professional | $115.51 | $115.51 | $151.61 | |
United
| Professional | $57.82 | $144.41 | $197.83 |