| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.77 | $45.77 | $52.82 | |
Cigna
| Facility | $68.94 | $71.68 | $71.68 | |
Cigna
| Professional | $52.33 | $71.68 | $73.83 | |
MVP Health Care
| Facility | $68.94 | $71.68 | $71.68 | |
MVP Health Care
| Professional | $52.33 | $71.68 | $73.83 | |
United
| Professional | $31.20 | $59.38 | $108.44 |