| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $104.71 | $131.83 | |
Cigna
| Facility | $109.65 | $109.65 | $173.78 | |
Cigna
| Professional | $81.28 | $81.28 | $117.49 | |
MVP Health Care
| Professional | $173.78 | $181.97 | $234.42 | |
United
| Facility | $87.10 | $91.20 | $109.65 | |
United
| Professional | $79.43 | $138.04 | $489.78 |