| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.90 | $138.90 | $138.90 | |
Cigna
| Facility | $187.49 | $187.49 | $187.49 | |
Cigna
| Professional | $128.44 | $128.44 | $160.55 | |
MVP Health Care
| Facility | $187.49 | $187.49 | $187.49 | |
MVP Health Care
| Professional | $72.81 | $128.44 | $160.55 | |
United
| Professional | $67.20 | $67.20 | $156.83 |