| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.78 | $93.78 | $108.21 | |
Cigna
| Facility | $124.31 | $124.31 | $141.25 | |
Cigna
| Professional | $90.75 | $90.75 | $119.63 | |
MVP Health Care
| Facility | $124.31 | $124.31 | $141.25 | |
MVP Health Care
| Professional | $90.75 | $90.75 | $119.63 | |
United
| Professional | $63.92 | $121.65 | $222.16 |