| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.53 | $57.53 | $71.26 | |
Cigna
| Facility | $70.70 | $70.70 | $70.70 | |
Cigna
| Professional | $51.62 | $70.70 | $75.39 | |
MVP Health Care
| Facility | $70.70 | $70.70 | $70.70 | |
MVP Health Care
| Professional | $51.62 | $70.70 | $75.39 | |
United
| Professional | $39.11 | $70.81 | $136.16 |