| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.99 | $195.99 | $226.15 | |
Cigna
| Facility | $188.22 | $188.22 | $295.20 | |
Cigna
| Professional | $137.40 | $188.22 | $193.87 | |
MVP Health Care
| Facility | $188.22 | $188.22 | $295.20 | |
MVP Health Care
| Professional | $137.40 | $188.22 | $193.87 | |
United
| Facility | $204.62 | $204.62 | $204.62 | |
United
| Professional | $133.58 | $237.92 | $464.31 |