| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.43 | $195.22 | $237.30 | |
Cigna
| Facility | $585.87 | $585.87 | $585.87 | |
Cigna
| Professional | $117.23 | $120.56 | $379.85 | |
MVP Health Care
| Facility | $585.87 | $585.87 | $585.87 | |
MVP Health Care
| Professional | $115.10 | $119.63 | $379.85 | |
United
| Professional | $121.79 | $342.60 | $1,179.68 |