| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.90 | $75.90 | $87.58 | |
Cigna
| Facility | $88.96 | $88.96 | $88.96 | |
Cigna
| Professional | $64.94 | $88.96 | $108.10 | |
MVP Health Care
| Facility | $88.96 | $88.96 | $88.96 | |
MVP Health Care
| Professional | $64.94 | $88.96 | $108.10 | |
United
| Professional | $51.73 | $92.13 | $179.81 |