| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.88 | $141.88 | $141.88 | |
Cigna
| Facility | $191.53 | $191.53 | $191.53 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
MVP Health Care
| Facility | $191.53 | $191.53 | $191.53 | |
MVP Health Care
| Professional | $74.38 | $131.75 | $164.68 | |
United
| Professional | $49.98 | $68.66 | $160.19 |