| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $141.25 | $169.82 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Cigna
| Professional | $173.78 | $245.47 | $398.11 | |
MVP Health Care
| Facility | $173.78 | $173.78 | $173.78 | |
MVP Health Care
| Professional | $173.78 | $173.78 | $177.83 | |
United
| Professional | $75.86 | $177.83 | $407.38 |