| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $380.19 | $630.96 | |
Cigna
| Facility | $851.14 | $851.14 | $851.14 | |
Cigna
| Professional | $588.84 | $588.84 | $741.31 | |
MVP Health Care
| Facility | $512.86 | $512.86 | $512.86 | |
United
| Facility | $177.83 | $177.83 | $177.83 | |
United
| Professional | $223.87 | $309.03 | $707.95 |