| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $162.18 | $245.47 | |
Cigna
| Facility | $323.59 | $323.59 | $323.59 | |
Cigna
| Professional | $95.50 | $223.87 | $436.52 | |
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 |