| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.79 | $75.79 | $75.79 | |
Cigna
| Facility | $71.50 | $80.94 | $134.90 | |
Cigna
| Professional | $75.79 | $75.79 | $134.90 | |
MVP Health Care
| Facility | $71.50 | $80.94 | $134.90 | |
MVP Health Care
| Professional | $75.79 | $75.79 | $134.90 | |
United
| Professional | $75.79 | $75.79 | $227.37 |