| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.34 | $162.34 | $187.32 | |
Cigna
| Facility | $227.96 | $227.96 | $244.51 | |
Cigna
| Professional | $166.41 | $189.78 | $234.80 | |
MVP Health Care
| Facility | $227.96 | $227.96 | $244.51 | |
MVP Health Care
| Professional | $166.41 | $227.96 | $234.80 | |
United
| Professional | $110.65 | $250.01 | $276.62 |