| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.48 | $68.48 | $68.48 | |
Cigna
| Facility | $64.61 | $77.53 | $129.22 | |
Cigna
| Professional | $68.48 | $68.48 | $129.22 | |
MVP Health Care
| Facility | $64.61 | $77.53 | $129.22 | |
MVP Health Care
| Professional | $68.48 | $68.48 | $129.22 | |
United
| Professional | $68.48 | $68.48 | $205.47 |