| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.43 | $102.33 | $114.82 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Professional | $66.07 | $79.43 | $107.15 | |
MVP Health Care
| Professional | $147.91 | $181.97 | $229.09 | |
United
| Facility | $85.11 | $85.11 | $107.15 | |
United
| Professional | $64.57 | $131.83 | $389.05 |