| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.49 | $88.49 | $102.11 | |
Cigna
| Facility | $113.00 | $113.00 | $133.29 | |
Cigna
| Professional | $82.49 | $113.00 | $120.47 | |
MVP Health Care
| Facility | $113.00 | $113.00 | $133.29 | |
MVP Health Care
| Professional | $82.49 | $113.00 | $120.47 | |
United
| Professional | $60.31 | $131.99 | $209.64 |