| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $154.88 | $251.19 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
MVP Health Care
| Facility | $245.47 | $245.47 | $245.47 | |
United
| Facility | $87.10 | $87.10 | $87.10 | |
United
| Professional | $85.11 | $123.03 | $316.23 |