| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.62 | $187.10 | $785.88 | |
Cigna
| Facility | $204.56 | $204.56 | $204.56 | |
Cigna
| Professional | $71.84 | $170.83 | $304.89 | |
MVP Health Care
| Facility | $204.56 | $204.56 | $204.56 | |
MVP Health Care
| Professional | $71.84 | $170.83 | $304.89 | |
United
| Professional | $53.39 | $141.21 | $282.38 |