| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $75.86 | $81.28 | |
Cigna
| Facility | $100.00 | $104.71 | $104.71 | |
Cigna
| Professional | $75.86 | $75.86 | $104.71 | |
MVP Health Care
| Professional | $107.15 | $123.03 | $169.82 | |
United
| Facility | $63.10 | $75.86 | $85.11 | |
United
| Professional | $46.77 | $97.72 | $281.84 |