| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $61.66 | $70.79 | |
Cigna
| Facility | $91.20 | $91.20 | $91.20 | |
Cigna
| Professional | $77.62 | $77.62 | $91.20 | |
MVP Health Care
| Professional | $87.10 | $109.65 | $134.90 | |
United
| Facility | $67.61 | $67.61 | $79.43 | |
United
| Professional | $38.02 | $83.18 | $229.09 |