| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.62 | $73.62 | $84.95 | |
Cigna
| Facility | $89.11 | $89.11 | $110.88 | |
Cigna
| Professional | $65.05 | $89.11 | $94.99 | |
MVP Health Care
| Facility | $89.11 | $89.11 | $110.88 | |
MVP Health Care
| Professional | $65.05 | $89.11 | $94.99 | |
United
| Professional | $63.64 | $113.37 | $174.40 |