| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.09 | $135.38 | $135.38 | |
Cigna
| Facility | $83.15 | $83.15 | $83.15 | |
Cigna
| Professional | $60.70 | $83.14 | $85.64 | |
MVP Health Care
| Facility | $83.15 | $83.15 | $83.15 | |
MVP Health Care
| Professional | $83.14 | $83.15 | $85.64 | |
United
| Professional | $72.97 | $126.34 | $189.11 |