| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $177.83 | $269.15 | |
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Cigna
| Professional | $251.19 | $281.84 | $316.23 | |
MVP Health Care
| Facility | $218.78 | $218.78 | $218.78 | |
United
| Facility | $75.86 | $75.86 | $75.86 | |
United
| Professional | $95.50 | $131.83 | $338.84 |