| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.35 | $126.32 | $130.88 | |
Cigna
| Facility | $426.99 | $426.99 | $426.99 | |
Cigna
| Professional | $111.76 | $173.96 | $532.94 | |
MVP Health Care
| Facility | $426.99 | $426.99 | $426.99 | |
MVP Health Care
| Professional | $156.97 | $174.21 | $532.94 | |
United
| Professional | $130.15 | $181.34 | $573.89 |