| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.45 | $101.59 | $113.21 | |
Cigna
| Facility | $1,961.87 | $1,961.87 | $1,961.87 | |
Cigna
| Professional | $144.91 | $163.82 | $243.93 | |
MVP Health Care
| Facility | $1,961.87 | $1,961.87 | $1,961.87 | |
MVP Health Care
| Professional | $144.91 | $163.82 | $243.93 |