| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $158.49 | $181.97 | |
Cigna
| Facility | $165.96 | $165.96 | $218.78 | |
Cigna
| Professional | $120.23 | $120.23 | $177.83 | |
MVP Health Care
| Professional | $234.42 | $295.12 | $354.81 | |
United
| Facility | $131.83 | $165.96 | $223.87 | |
United
| Professional | $104.71 | $204.17 | $630.96 |