| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.85 | $94.85 | $109.45 | |
Cigna
| Facility | $120.62 | $120.62 | $142.87 | |
Cigna
| Professional | $88.05 | $110.99 | $128.59 | |
MVP Health Care
| Facility | $120.62 | $120.62 | $142.87 | |
MVP Health Care
| Professional | $88.05 | $120.62 | $128.59 | |
United
| Professional | $67.23 | $120.26 | $224.72 |