| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $128.82 | $173.78 | |
Cigna
| Facility | $141.25 | $141.25 | $213.80 | |
Cigna
| Professional | $102.33 | $102.33 | $151.36 | |
MVP Health Care
| Professional | $213.80 | $229.09 | $288.40 | |
United
| Facility | $144.54 | $144.54 | $173.78 | |
United
| Professional | $100.00 | $218.78 | $602.56 |