| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.13 | $89.13 | $131.83 | |
Cigna
| Facility | $177.83 | $177.83 | $177.83 | |
Cigna
| Professional | $107.15 | $107.15 | $107.15 | |
MVP Health Care
| Facility | $107.15 | $107.15 | $107.15 | |
MVP Health Care
| Professional | $107.15 | $107.15 | $107.15 | |
United
| Professional | $46.77 | $64.57 | $245.47 |