| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $181.97 | $208.93 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $141.25 | $141.25 | $190.55 | |
MVP Health Care
| Professional | $263.03 | $331.13 | $407.38 | |
United
| Facility | $151.36 | $151.36 | $190.55 | |
United
| Professional | $114.82 | $251.19 | $691.83 |