| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $107.15 | $128.82 | |
Cigna
| Facility | $112.20 | $112.20 | $158.49 | |
Cigna
| Professional | $81.28 | $81.28 | $114.82 | |
MVP Health Care
| Professional | $169.82 | $177.83 | $239.88 | |
United
| Facility | $89.13 | $112.20 | $120.23 | |
United
| Professional | $75.86 | $138.04 | $457.09 |