| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $3.98 | $346.74 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $407.38 | $407.38 | $512.86 | |
MVP Health Care
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Facility | $125.89 | $125.89 | $125.89 | |
United
| Professional | $154.88 | $213.80 | $549.54 |