| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.13 | $85.13 | $98.23 | |
Cigna
| Facility | $100.43 | $100.43 | $128.22 | |
Cigna
| Professional | $73.31 | $100.43 | $107.06 | |
MVP Health Care
| Facility | $100.43 | $100.43 | $128.22 | |
MVP Health Care
| Professional | $73.31 | $100.43 | $107.06 | |
United
| Professional | $58.02 | $103.34 | $201.67 |