| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.05 | $182.05 | $210.06 | |
Cigna
| Facility | $274.20 | $291.02 | $291.02 | |
Cigna
| Professional | $212.45 | $291.02 | $310.26 | |
MVP Health Care
| Facility | $274.20 | $291.02 | $291.02 | |
MVP Health Care
| Professional | $212.45 | $291.02 | $310.26 | |
United
| Facility | $184.46 | $184.46 | $232.64 | |
United
| Professional | $168.05 | $280.36 | $310.19 |