| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $104.71 | $131.83 | |
Cigna
| Facility | $112.20 | $112.20 | $131.83 | |
Cigna
| Professional | $83.18 | $83.18 | $120.23 | |
MVP Health Care
| Professional | $141.25 | $177.83 | $234.42 | |
United
| Facility | $75.86 | $104.71 | $138.04 | |
United
| Professional | $63.10 | $134.90 | $380.19 |