| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.99 | $55.99 | $67.44 | |
Cigna
| Facility | $69.84 | $69.84 | $69.84 | |
Cigna
| Professional | $50.99 | $69.84 | $132.13 | |
MVP Health Care
| Facility | $69.84 | $69.84 | $69.84 | |
MVP Health Care
| Professional | $50.99 | $69.84 | $132.13 | |
United
| Professional | $39.35 | $89.62 | $146.71 |