| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.70 | $106.70 | $397.77 | |
Cigna
| Facility | $42.46 | $42.46 | $100.66 | |
Cigna
| Professional | $70.76 | $106.70 | $106.70 | |
MVP Health Care
| Facility | $42.46 | $42.46 | $100.66 | |
MVP Health Care
| Professional | $70.76 | $106.70 | $110.73 | |
United
| Professional | $106.70 | $106.70 | $320.10 |