| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $186.21 | $363.08 | |
Cigna
| Facility | $645.65 | $645.65 | $645.65 | |
Cigna
| Professional | $380.19 | $380.19 | $380.19 | |
MVP Health Care
| Facility | $380.19 | $380.19 | $380.19 | |
MVP Health Care
| Professional | $190.55 | $380.19 | $380.19 | |
United
| Professional | $83.18 | $114.82 | $891.25 |