| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.81 | $85.81 | $99.02 | |
Cigna
| Facility | $129.25 | $132.63 | $132.63 | |
Cigna
| Professional | $94.17 | $119.96 | $136.62 | |
MVP Health Care
| Facility | $129.25 | $132.63 | $132.63 | |
MVP Health Care
| Professional | $94.17 | $132.63 | $136.62 | |
United
| Professional | $58.48 | $104.17 | $203.29 |