| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.53 | $66.53 | $76.77 | |
Cigna
| Facility | $100.20 | $104.21 | $104.21 | |
Cigna
| Professional | $76.06 | $76.06 | $79.28 | |
MVP Health Care
| Facility | $100.20 | $104.21 | $104.21 | |
MVP Health Care
| Professional | $76.06 | $76.06 | $79.28 | |
United
| Professional | $57.66 | $102.46 | $113.39 |