| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $162.18 | $239.88 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $91.20 | $204.17 | $288.40 | |
MVP Health Care
| Facility | $194.98 | $194.98 | $194.98 | |
MVP Health Care
| Professional | $194.98 | $194.98 | $194.98 | |
United
| Professional | $85.11 | $194.98 | $446.68 |