| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.23 | $80.23 | $92.59 | |
Cigna
| Facility | $79.77 | $79.77 | $120.85 | |
Cigna
| Professional | $58.23 | $79.77 | $85.05 | |
MVP Health Care
| Facility | $79.77 | $79.77 | $120.85 | |
MVP Health Care
| Professional | $58.23 | $79.77 | $85.05 | |
United
| Professional | $54.69 | $97.40 | $190.09 |