| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.05 | $126.05 | $156.79 | |
Cigna
| Facility | $189.85 | $195.78 | $195.78 | |
Cigna
| Professional | $147.97 | $166.41 | $166.41 | |
MVP Health Care
| Facility | $189.85 | $195.78 | $195.78 | |
MVP Health Care
| Professional | $147.97 | $166.41 | $422.25 | |
United
| Professional | $85.91 | $178.39 | $298.60 |