| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $144.54 | $218.78 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Cigna
| Professional | $85.11 | $204.17 | $257.04 | |
MVP Health Care
| Facility | $177.83 | $177.83 | $177.83 | |
United
| Facility | $61.66 | $61.66 | $61.66 | |
United
| Professional | $77.62 | $107.15 | $389.05 |