| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.80 | $68.65 | $106.77 | |
Cigna
| Facility | $55.28 | $94.50 | $157.49 | |
Cigna
| Professional | $61.80 | $61.80 | $61.80 | |
MVP Health Care
| Facility | $55.28 | $94.50 | $157.49 | |
MVP Health Care
| Professional | $61.80 | $61.80 | $61.80 | |
United
| Professional | $58.71 | $61.80 | $237.44 |