| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.30 | $74.30 | $85.73 | |
Cigna
| Facility | $97.54 | $97.54 | $111.91 | |
Cigna
| Professional | $71.20 | $95.78 | $103.98 | |
MVP Health Care
| Facility | $97.54 | $97.54 | $111.91 | |
MVP Health Care
| Professional | $71.20 | $97.54 | $103.98 | |
United
| Professional | $50.64 | $109.41 | $176.01 |