| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $107.15 | $123.03 | |
Cigna
| Facility | $120.23 | $120.23 | $141.25 | |
Cigna
| Professional | $87.10 | $87.10 | $120.23 | |
MVP Health Care
| Professional | $151.36 | $190.55 | $239.88 | |
United
| Facility | $117.49 | $117.49 | $141.25 | |
United
| Professional | $67.61 | $134.90 | $407.38 |