| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $141.25 | $213.80 | |
Cigna
| Facility | $288.40 | $288.40 | $288.40 | |
Cigna
| Professional | $199.53 | $199.53 | $251.19 | |
MVP Health Care
| Facility | $173.78 | $173.78 | $173.78 | |
United
| Facility | $60.26 | $60.26 | $60.26 | |
United
| Professional | $75.86 | $104.71 | $239.88 |