| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $112.20 | $186.21 | |
Cigna
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $72.44 | $162.18 | $229.09 | |
MVP Health Care
| Facility | $123.03 | $123.03 | $123.03 | |
MVP Health Care
| Professional | $123.03 | $123.03 | $151.36 | |
United
| Professional | $53.70 | $151.36 | $331.13 |