| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.65 | $57.65 | $66.52 | |
Cigna
| Facility | $81.30 | $81.30 | $81.30 | |
Cigna
| Professional | $59.35 | $81.30 | $93.21 | |
MVP Health Care
| Facility | $81.30 | $81.30 | $81.30 | |
MVP Health Care
| Professional | $59.35 | $81.30 | $93.21 | |
United
| Professional | $39.29 | $69.98 | $136.57 |