| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.93 | $137.93 | $137.93 | |
Cigna
| Facility | $130.12 | $145.00 | $241.66 | |
Cigna
| Professional | $137.93 | $137.93 | $241.66 | |
MVP Health Care
| Facility | $130.12 | $145.00 | $241.66 | |
MVP Health Care
| Professional | $137.93 | $137.93 | $241.66 | |
United
| Professional | $137.93 | $137.93 | $413.79 |