| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.97 | $162.97 | $188.04 | |
Cigna
| Facility | $225.68 | $225.68 | $245.45 | |
Cigna
| Professional | $164.75 | $225.68 | $240.59 | |
MVP Health Care
| Facility | $225.68 | $225.68 | $245.45 | |
MVP Health Care
| Professional | $164.75 | $225.68 | $240.59 | |
United
| Professional | $115.52 | $197.83 | $386.07 |