| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $57.54 | $63.10 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Cigna
| Professional | $43.65 | $43.65 | $60.26 | |
MVP Health Care
| Professional | $81.28 | $102.33 | $128.82 | |
United
| Facility | $47.86 | $47.86 | $60.26 | |
United
| Professional | $36.31 | $72.44 | $218.78 |