| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.42 | $73.42 | $123.18 | |
Cigna
| Facility | $121.22 | $121.22 | $121.22 | |
Cigna
| Professional | $73.42 | $73.42 | $73.42 | |
MVP Health Care
| Facility | $121.22 | $121.22 | $121.22 | |
MVP Health Care
| Professional | $73.42 | $73.42 | $73.42 | |
United
| Professional | $68.38 | $71.98 | $147.13 |