| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.85 | $141.85 | $170.86 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $210.68 | $333.92 | |
MVP Health Care
| Facility | $210.68 | $210.68 | $210.68 | |
MVP Health Care
| Professional | $153.80 | $210.68 | $333.92 | |
United
| Professional | $95.89 | $220.29 | $370.86 |