| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.65 | $57.65 | $66.52 | |
Cigna
| Facility | $67.56 | $67.56 | $67.56 | |
Cigna
| Professional | $49.33 | $67.56 | $72.04 | |
MVP Health Care
| Facility | $67.56 | $67.56 | $67.56 | |
MVP Health Care
| Professional | $49.33 | $67.56 | $72.04 | |
United
| Professional | $48.98 | $88.78 | $136.57 |