| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.37 | $69.37 | $133.13 | |
Cigna
| Facility | $45.41 | $63.71 | $81.84 | |
Cigna
| Professional | $45.41 | $69.37 | $70.08 | |
MVP Health Care
| Facility | $45.41 | $63.71 | $81.84 | |
MVP Health Care
| Professional | $45.41 | $69.37 | $76.76 | |
United
| Professional | $69.37 | $73.53 | $160.54 |