| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.41 | $89.41 | $89.41 | |
Cigna
| Facility | $84.35 | $104.18 | $173.64 | |
Cigna
| Professional | $89.41 | $89.41 | $173.64 | |
MVP Health Care
| Facility | $84.35 | $104.18 | $173.64 | |
MVP Health Care
| Professional | $89.41 | $89.41 | $173.64 | |
United
| Professional | $89.41 | $92.99 | $268.23 |