| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $134.90 | $154.88 | |
Cigna
| Facility | $165.96 | $194.98 | $194.98 | |
Cigna
| Professional | $141.25 | $141.25 | $194.98 | |
MVP Health Care
| Professional | $177.83 | $218.78 | $302.00 | |
United
| Facility | $147.91 | $151.36 | $177.83 | |
United
| Professional | $77.62 | $169.82 | $467.74 |