| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.76 | $98.76 | $113.96 | |
Cigna
| Facility | $148.74 | $170.89 | $170.89 | |
Cigna
| Professional | $124.75 | $164.29 | $182.19 | |
MVP Health Care
| Facility | $148.74 | $170.89 | $170.89 | |
MVP Health Care
| Professional | $124.75 | $170.89 | $182.19 | |
United
| Professional | $67.31 | $152.09 | $233.96 |