| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $199.53 | $251.19 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $177.83 | $177.83 | $251.19 | |
MVP Health Care
| Professional | $263.03 | $331.13 | $446.68 | |
United
| Facility | $169.82 | $173.78 | $263.03 | |
United
| Professional | $117.49 | $251.19 | $707.95 |