| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $107.15 | $588.84 | |
Cigna
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $128.82 | $128.82 | $162.18 | |
MVP Health Care
| Facility | $112.20 | $112.20 | $112.20 | |
United
| Facility | $38.90 | $38.90 | $38.90 | |
United
| Professional | $48.98 | $67.61 | $158.49 |