| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.95 | $67.61 | $97.72 | |
Cigna
| Facility | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
MVP Health Care
| Facility | $79.43 | $79.43 | $79.43 | |
MVP Health Care
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Professional | $34.67 | $47.86 | $181.97 |