| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $158.49 | $229.09 | |
Cigna
| Facility | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
MVP Health Care
| Facility | $186.21 | $186.21 | $186.21 | |
MVP Health Care
| Professional | $186.21 | $186.21 | $186.21 | |
United
| Professional | $81.28 | $186.21 | $426.58 |