| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.69 | $114.69 | $132.33 | |
Cigna
| Facility | $110.15 | $110.15 | $172.73 | |
Cigna
| Professional | $80.41 | $110.14 | $117.42 | |
MVP Health Care
| Facility | $110.15 | $110.15 | $172.73 | |
MVP Health Care
| Professional | $80.41 | $110.14 | $117.42 | |
United
| Professional | $79.84 | $139.22 | $271.70 |