| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $151.36 | $251.19 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
MVP Health Care
| Facility | $162.18 | $162.18 | $162.18 | |
MVP Health Care
| Professional | $162.18 | $162.18 | $204.17 | |
United
| Professional | $72.44 | $204.17 | $380.19 |