| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.86 | $93.86 | $108.30 | |
Cigna
| Facility | $97.79 | $97.79 | $141.36 | |
Cigna
| Professional | $71.39 | $97.79 | $104.26 | |
MVP Health Care
| Facility | $97.79 | $97.79 | $141.36 | |
MVP Health Care
| Professional | $71.39 | $97.79 | $104.26 | |
United
| Facility | $74.61 | $74.61 | $94.10 | |
United
| Professional | $63.98 | $113.93 | $222.35 |