| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.38 | $115.38 | $133.13 | |
Cigna
| Facility | $135.22 | $135.22 | $135.22 | |
Cigna
| Professional | $98.72 | $181.64 | $193.57 | |
MVP Health Care
| Facility | $135.22 | $135.22 | $135.22 | |
MVP Health Care
| Professional | $98.72 | $181.80 | $193.57 | |
United
| Professional | $78.63 | $140.05 | $273.33 |