| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.69 | $62.69 | $72.34 | |
Cigna
| Facility | $60.21 | $60.21 | $94.42 | |
Cigna
| Professional | $43.95 | $60.21 | $64.19 | |
MVP Health Care
| Facility | $60.21 | $60.21 | $94.42 | |
MVP Health Care
| Professional | $43.95 | $60.21 | $64.19 | |
United
| Professional | $42.73 | $76.09 | $148.52 |