| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.78 | $4.78 | $4.78 | |
Cigna
| Facility | $598.58 | $598.58 | $598.58 | |
Cigna
| Professional | $410.94 | $410.94 | $513.66 | |
MVP Health Care
| Facility | $598.58 | $598.58 | $598.58 | |
MVP Health Care
| Professional | $232.46 | $410.94 | $513.66 | |
United
| Professional | $214.58 | $214.58 | $500.68 |