| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.21 | $124.21 | $143.32 | |
Cigna
| Facility | $119.29 | $119.29 | $187.09 | |
Cigna
| Professional | $87.08 | $87.08 | $118.67 | |
MVP Health Care
| Facility | $119.29 | $119.29 | $187.09 | |
MVP Health Care
| Professional | $87.08 | $87.08 | $118.67 | |
United
| Professional | $86.48 | $145.74 | $294.26 |