| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $72.44 | $93.33 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $38.02 | $38.02 | $52.48 | |
MVP Health Care
| Professional | $114.82 | $134.90 | $169.82 | |
United
| Facility | $93.33 | $93.33 | $117.49 | |
United
| Professional | $72.44 | $165.96 | $323.59 |