| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.86 | $87.10 | $91.20 | |
Cigna
| Facility | $158.49 | $158.49 | $158.49 | |
Cigna
| Professional | $93.33 | $173.78 | $229.09 | |
MVP Health Care
| Facility | $95.50 | $95.50 | $95.50 | |
MVP Health Care
| Professional | $95.50 | $95.50 | $125.89 | |
United
| Professional | $41.69 | $125.89 | $251.19 |