| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.41 | $76.41 | $88.17 | |
Cigna
| Facility | $97.44 | $97.44 | $115.09 | |
Cigna
| Professional | $71.13 | $93.30 | $103.88 | |
MVP Health Care
| Facility | $97.44 | $97.44 | $115.09 | |
MVP Health Care
| Professional | $71.13 | $97.44 | $103.88 | |
United
| Professional | $52.08 | $92.76 | $181.03 |