| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.07 | $164.07 | $189.31 | |
Cigna
| Facility | $244.07 | $244.07 | $247.10 | |
Cigna
| Professional | $178.17 | $244.07 | $251.39 | |
MVP Health Care
| Facility | $244.07 | $244.07 | $247.10 | |
MVP Health Care
| Professional | $178.17 | $244.07 | $251.39 | |
United
| Professional | $116.29 | $252.66 | $388.67 |