| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.44 | $136.44 | $157.44 | |
Cigna
| Facility | $139.66 | $139.66 | $205.51 | |
Cigna
| Professional | $101.95 | $139.66 | $143.85 | |
MVP Health Care
| Facility | $139.66 | $139.66 | $205.51 | |
MVP Health Care
| Professional | $101.95 | $139.66 | $143.85 | |
United
| Professional | $93.00 | $165.63 | $323.25 |