| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.75 | $52.75 | $135.85 | |
Cigna
| Facility | $49.77 | $58.63 | $97.71 | |
Cigna
| Professional | $52.75 | $52.75 | $97.71 | |
MVP Health Care
| Facility | $49.77 | $58.63 | $97.71 | |
MVP Health Care
| Professional | $52.75 | $52.75 | $97.71 | |
United
| Professional | $52.75 | $52.75 | $158.25 |