| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $147.91 | $218.78 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Cigna
| Professional | $83.18 | $186.21 | $263.03 | |
MVP Health Care
| Facility | $173.78 | $173.78 | $173.78 | |
MVP Health Care
| Professional | $173.78 | $173.78 | $173.78 | |
United
| Professional | $75.86 | $173.78 | $407.38 |