| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $181.97 | $239.88 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $204.17 | $204.17 | $275.42 | |
MVP Health Care
| Professional | $223.87 | $263.03 | $316.23 | |
United
| Facility | $186.21 | $186.21 | $234.42 | |
United
| Professional | $141.25 | $316.23 | $630.96 |