| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.61 | $93.61 | $121.42 | |
Cigna
| Facility | $126.23 | $126.23 | $140.99 | |
Cigna
| Professional | $92.15 | $126.23 | $130.02 | |
MVP Health Care
| Facility | $126.23 | $126.23 | $140.99 | |
MVP Health Care
| Professional | $92.15 | $126.23 | $130.02 | |
United
| Professional | $63.80 | $116.34 | $221.75 |