| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $125.89 | $186.21 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
MVP Health Care
| Facility | $151.36 | $151.36 | $151.36 | |
MVP Health Care
| Professional | $151.36 | $151.36 | $151.36 | |
United
| Professional | $66.07 | $89.13 | $346.74 |