| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.03 | $86.03 | $99.27 | |
Cigna
| Facility | $110.16 | $110.16 | $129.58 | |
Cigna
| Professional | $80.42 | $110.16 | $113.46 | |
MVP Health Care
| Facility | $110.16 | $110.16 | $129.58 | |
MVP Health Care
| Professional | $80.42 | $110.16 | $113.46 | |
United
| Professional | $58.64 | $104.43 | $203.81 |