| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.96 | $176.06 | $235.80 | |
Cigna
| Facility | $178.86 | $178.86 | $178.86 | |
Cigna
| Professional | $152.03 | $152.03 | $152.03 | |
MVP Health Care
| Facility | $178.86 | $178.86 | $178.86 | |
United
| Professional | $77.18 | $185.53 | $233.00 |