| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.23 | $176.23 | $203.34 | |
Cigna
| Facility | $239.35 | $239.35 | $239.35 | |
Cigna
| Professional | $174.73 | $174.73 | $174.73 | |
MVP Health Care
| Facility | $239.35 | $239.35 | $239.35 | |
MVP Health Care
| Professional | $174.73 | $174.73 | $174.73 | |
United
| Professional | $120.11 | $248.45 | $417.48 |