| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.46 | $213.93 | $286.52 | |
Cigna
| Facility | $243.78 | $243.78 | $326.36 | |
Cigna
| Professional | $207.21 | $243.78 | $326.36 | |
MVP Health Care
| Facility | $243.78 | $243.78 | $326.36 | |
MVP Health Care
| Professional | $243.78 | $243.78 | $326.36 | |
United
| Professional | $125.47 | $314.87 | $443.67 |