| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $100.00 | $107.15 | |
Cigna
| Facility | $109.65 | $109.65 | $128.82 | |
Cigna
| Professional | $81.28 | $81.28 | $112.20 | |
MVP Health Care
| Professional | $138.04 | $173.78 | $234.42 | |
United
| Facility | $87.10 | $89.13 | $109.65 | |
United
| Professional | $61.66 | $131.83 | $371.54 |