| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.38 | $67.78 | $78.20 | |
Cigna
| Facility | $77.09 | $77.09 | $102.08 | |
Cigna
| Professional | $56.28 | $75.91 | $82.18 | |
MVP Health Care
| Facility | $77.09 | $77.09 | $102.08 | |
MVP Health Care
| Professional | $56.28 | $77.09 | $100.50 | |
United
| Professional | $46.19 | $82.27 | $160.55 |