| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $229.09 | $288.40 | |
Cigna
| Facility | $281.84 | $302.00 | $302.00 | |
Cigna
| Professional | $223.87 | $223.87 | $302.00 | |
MVP Health Care
| Professional | $302.00 | $371.54 | $512.86 | |
United
| Facility | $234.42 | $251.19 | $302.00 | |
United
| Professional | $131.83 | $288.40 | $794.33 |