| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $114.82 | $169.82 | |
Cigna
| Facility | $229.09 | $229.09 | $229.09 | |
Cigna
| Professional | $64.57 | $144.54 | $204.17 | |
MVP Health Care
| Facility | $138.04 | $138.04 | $138.04 | |
MVP Health Care
| Professional | $138.04 | $138.04 | $138.04 | |
United
| Professional | $60.26 | $138.04 | $316.23 |