| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.41 | $65.41 | $161.04 | |
Cigna
| Facility | $61.70 | $74.04 | $93.06 | |
Cigna
| Professional | $65.40 | $65.40 | $93.06 | |
MVP Health Care
| Facility | $61.70 | $74.04 | $93.06 | |
MVP Health Care
| Professional | $65.40 | $65.40 | $93.06 | |
United
| Professional | $65.41 | $65.41 | $196.23 |