| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.66 | $141.66 | $163.47 | |
Cigna
| Facility | $140.85 | $140.85 | $213.38 | |
Cigna
| Professional | $102.82 | $102.82 | $135.49 | |
MVP Health Care
| Facility | $140.85 | $140.85 | $213.38 | |
MVP Health Care
| Professional | $102.82 | $102.82 | $135.49 | |
United
| Professional | $108.63 | $231.32 | $241.40 |