| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.74 | $138.74 | $258.06 | |
Cigna
| Facility | $130.88 | $154.38 | $257.29 | |
Cigna
| Professional | $138.74 | $138.74 | $257.29 | |
MVP Health Care
| Facility | $130.88 | $154.38 | $257.29 | |
MVP Health Care
| Professional | $138.74 | $138.74 | $257.29 | |
United
| Professional | $138.74 | $138.74 | $416.22 |