| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $114.82 | $165.96 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Cigna
| Professional | $134.90 | $134.90 | $134.90 | |
MVP Health Care
| Facility | $134.90 | $134.90 | $134.90 | |
MVP Health Care
| Professional | $134.90 | $134.90 | $134.90 | |
United
| Professional | $58.88 | $81.28 | $309.03 |