| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $125.89 | $204.17 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $199.53 | $199.53 | $199.53 | |
MVP Health Care
| Facility | $199.53 | $199.53 | $199.53 | |
MVP Health Care
| Professional | $165.96 | $199.53 | $199.53 | |
United
| Professional | $64.57 | $100.00 | $346.74 |