| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.53 | $80.53 | $135.09 | |
Cigna
| Facility | $80.53 | $80.53 | $83.69 | |
Cigna
| Professional | $83.69 | $83.69 | $83.69 | |
MVP Health Care
| Facility | $80.53 | $80.53 | $83.69 | |
MVP Health Care
| Professional | $83.69 | $83.69 | $83.69 | |
United
| Professional | $80.53 | $94.74 | $98.53 |