| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.62 | $174.62 | $201.48 | |
Cigna
| Facility | $189.91 | $189.91 | $263.00 | |
Cigna
| Professional | $138.63 | $189.91 | $202.45 | |
MVP Health Care
| Facility | $189.91 | $189.91 | $263.00 | |
MVP Health Care
| Professional | $138.63 | $189.91 | $202.45 | |
United
| Professional | $137.68 | $268.91 | $413.67 |