| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.97 | $198.17 | $198.17 | |
Cigna
| Facility | $244.43 | $244.43 | $244.43 | |
Cigna
| Professional | $178.43 | $178.43 | $207.77 | |
MVP Health Care
| Facility | $244.43 | $244.43 | $244.43 | |
United
| Professional | $104.64 | $198.69 | $285.76 |