| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.44 | $109.44 | $109.44 | |
Cigna
| Facility | $103.24 | $233.75 | $335.23 | |
Cigna
| Professional | $109.44 | $109.44 | $335.23 | |
MVP Health Care
| Facility | $103.24 | $233.75 | $335.23 | |
MVP Health Care
| Professional | $109.44 | $109.44 | $335.23 | |
United
| Professional | $109.44 | $109.44 | $328.32 |