| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.27 | $61.27 | $70.70 | |
Cigna
| Facility | $58.84 | $58.84 | $92.28 | |
Cigna
| Professional | $42.95 | $58.84 | $62.73 | |
MVP Health Care
| Facility | $58.84 | $58.84 | $92.28 | |
MVP Health Care
| Professional | $42.95 | $58.84 | $62.73 | |
United
| Professional | $41.76 | $74.38 | $145.15 |