| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.67 | $77.67 | $93.56 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $56.50 | $182.57 | |
MVP Health Care
| Facility | $56.50 | $56.50 | $56.50 | |
MVP Health Care
| Professional | $41.25 | $56.50 | $182.57 | |
United
| Professional | $54.63 | $120.62 | $202.89 |