| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.63 | $67.63 | $78.04 | |
Cigna
| Facility | $89.65 | $89.65 | $101.86 | |
Cigna
| Professional | $65.44 | $89.65 | $95.57 | |
MVP Health Care
| Facility | $89.65 | $89.65 | $101.86 | |
MVP Health Care
| Professional | $65.44 | $89.65 | $95.57 | |
United
| Professional | $46.10 | $87.73 | $160.21 |