| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.74 | $137.74 | $610.79 | |
Cigna
| Facility | $158.97 | $158.97 | $158.97 | |
Cigna
| Professional | $213.26 | $213.26 | $213.26 | |
MVP Health Care
| Facility | $158.97 | $158.97 | $158.97 | |
MVP Health Care
| Professional | $60.00 | $60.00 | $213.26 | |
United
| Professional | $41.49 | $109.75 | $219.46 |