| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $77.62 | $85.11 | |
Cigna
| Facility | $81.28 | $81.28 | $104.71 | |
Cigna
| Professional | $60.26 | $60.26 | $87.10 | |
MVP Health Care
| Professional | $112.20 | $138.04 | $173.78 | |
United
| Facility | $64.57 | $81.28 | $104.71 | |
United
| Professional | $48.98 | $100.00 | $295.12 |