| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.55 | $171.55 | $197.95 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $211.82 | $218.17 | |
MVP Health Care
| Facility | $211.82 | $211.82 | $211.82 | |
MVP Health Care
| Professional | $154.63 | $211.82 | $218.17 | |
United
| Professional | $112.16 | $224.34 | $406.01 |