| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.15 | $66.15 | $76.33 | |
Cigna
| Facility | $99.64 | $112.36 | $112.36 | |
Cigna
| Professional | $82.02 | $106.94 | $115.73 | |
MVP Health Care
| Facility | $99.64 | $112.36 | $112.36 | |
MVP Health Care
| Professional | $82.02 | $112.36 | $115.73 | |
United
| Professional | $45.08 | $85.58 | $156.71 |