| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.48 | $108.48 | $125.17 | |
Cigna
| Facility | $163.38 | $182.31 | $182.31 | |
Cigna
| Professional | $133.09 | $138.37 | $187.78 | |
MVP Health Care
| Facility | $163.38 | $182.31 | $182.31 | |
MVP Health Care
| Professional | $133.09 | $182.31 | $187.78 | |
United
| Professional | $73.94 | $167.06 | $256.99 |