| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.79 | $93.79 | $108.22 | |
Cigna
| Facility | $90.07 | $90.07 | $141.25 | |
Cigna
| Professional | $65.75 | $90.07 | $96.02 | |
MVP Health Care
| Facility | $90.07 | $90.07 | $141.25 | |
MVP Health Care
| Professional | $65.75 | $90.07 | $96.02 | |
United
| Professional | $71.91 | $144.43 | $222.18 |