| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $239.88 | $275.42 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $234.42 | $234.42 | $316.23 | |
MVP Health Care
| Professional | $338.84 | $426.58 | $537.03 | |
United
| Facility | $263.03 | $263.03 | $316.23 | |
United
| Professional | $151.36 | $331.13 | $912.01 |