| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $257.04 | $467.74 | |
Cigna
| Facility | $812.83 | $812.83 | $812.83 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
MVP Health Care
| Facility | $478.63 | $478.63 | $478.63 | |
MVP Health Care
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Professional | $91.20 | $208.93 | $1,122.02 |