| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.23 | $186.41 | $186.41 | |
Cigna
| Facility | $251.60 | $251.60 | $251.60 | |
Cigna
| Professional | $73.91 | $175.73 | $349.49 | |
MVP Health Care
| Facility | $251.60 | $251.60 | $251.60 | |
MVP Health Care
| Professional | $73.91 | $175.73 | $349.49 | |
United
| Professional | $65.66 | $150.33 | $347.32 |