| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.33 | $71.33 | $119.66 | |
Cigna
| Facility | $141.87 | $141.87 | $236.45 | |
Cigna
| Professional | $47.60 | $47.60 | $47.60 | |
MVP Health Care
| Facility | $141.87 | $141.87 | $236.45 | |
MVP Health Care
| Professional | $47.60 | $47.60 | $47.60 | |
United
| Professional | $44.34 | $46.67 | $71.79 |