| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.11 | $98.11 | $98.11 | |
Cigna
| Facility | $92.55 | $106.70 | $177.84 | |
Cigna
| Professional | $98.11 | $98.11 | $177.84 | |
MVP Health Care
| Facility | $92.55 | $106.70 | $177.84 | |
MVP Health Care
| Professional | $98.11 | $98.11 | $177.84 | |
United
| Professional | $98.11 | $98.11 | $294.33 |