| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $120.23 | $144.54 | |
Cigna
| Facility | $120.23 | $120.23 | $186.21 | |
Cigna
| Professional | $87.10 | $87.10 | $123.03 | |
MVP Health Care
| Professional | $186.21 | $199.53 | $257.04 | |
United
| Facility | $93.33 | $95.50 | $120.23 | |
United
| Professional | $87.10 | $151.36 | $524.81 |