| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.22 | $54.22 | $62.57 | |
Cigna
| Facility | $90.38 | $90.38 | $90.38 | |
Cigna
| Professional | $63.42 | $76.81 | $93.09 | |
MVP Health Care
| Facility | $90.38 | $90.38 | $90.38 | |
MVP Health Care
| Professional | $63.42 | $90.38 | $93.09 | |
United
| Professional | $38.43 | $65.81 | $128.44 |