| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $120.23 | $177.83 | |
Cigna
| Facility | $239.88 | $239.88 | $239.88 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
MVP Health Care
| Facility | $141.25 | $141.25 | $141.25 | |
MVP Health Care
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Professional | $61.66 | $141.25 | $331.13 |