| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.27 | $138.27 | $159.55 | |
Cigna
| Facility | $177.64 | $177.64 | $208.26 | |
Cigna
| Professional | $129.68 | $177.64 | $189.38 | |
MVP Health Care
| Facility | $177.64 | $177.64 | $208.26 | |
MVP Health Care
| Professional | $129.68 | $177.64 | $189.38 | |
United
| Professional | $98.01 | $175.31 | $327.57 |