| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.88 | $180.88 | $208.71 | |
Cigna
| Facility | $239.78 | $239.78 | $272.44 | |
Cigna
| Professional | $175.04 | $239.78 | $246.97 | |
MVP Health Care
| Facility | $239.78 | $239.78 | $272.44 | |
MVP Health Care
| Professional | $175.04 | $239.78 | $246.97 | |
United
| Facility | $247.02 | $247.02 | $247.02 | |
United
| Professional | $123.28 | $219.57 | $428.51 |