| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.54 | $107.54 | $124.09 | |
Cigna
| Facility | $122.31 | $122.31 | $161.97 | |
Cigna
| Professional | $89.29 | $122.31 | $130.38 | |
MVP Health Care
| Facility | $122.31 | $122.31 | $161.97 | |
MVP Health Care
| Professional | $89.29 | $122.31 | $130.38 | |
United
| Professional | $76.23 | $165.62 | $254.77 |