| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.87 | $138.87 | $160.24 | |
Cigna
| Facility | $138.76 | $138.76 | $209.17 | |
Cigna
| Professional | $101.29 | $138.76 | $147.91 | |
MVP Health Care
| Facility | $138.76 | $138.76 | $209.17 | |
MVP Health Care
| Professional | $101.29 | $138.76 | $147.91 | |
United
| Professional | $94.65 | $168.58 | $328.98 |