| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $151.36 | $194.98 | |
Cigna
| Facility | $213.80 | $213.80 | $213.80 | |
Cigna
| Professional | $154.88 | $154.88 | $213.80 | |
MVP Health Care
| Professional | $186.21 | $218.78 | $263.03 | |
United
| Facility | $151.36 | $151.36 | $190.55 | |
United
| Professional | $117.49 | $263.03 | $524.81 |