| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.95 | $127.40 | $147.00 | |
Cigna
| Facility | $133.72 | $133.72 | $191.88 | |
Cigna
| Professional | $97.62 | $122.04 | $142.55 | |
MVP Health Care
| Facility | $133.72 | $133.72 | $191.88 | |
MVP Health Care
| Professional | $97.62 | $133.72 | $142.55 | |
United
| Professional | $88.69 | $154.65 | $301.80 |