| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $186.21 | $204.17 | |
Cigna
| Facility | $194.98 | $194.98 | $194.98 | |
Cigna
| Professional | $141.25 | $141.25 | $204.17 | |
MVP Health Care
| Professional | $263.03 | $331.13 | $407.38 | |
United
| Facility | $151.36 | $151.36 | $190.55 | |
United
| Professional | $117.49 | $234.42 | $707.95 |