| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $207.05 | $366.78 | $1,901.93 | |
Cigna
| Facility | $495.07 | $495.07 | $495.07 | |
Cigna
| Professional | $140.94 | $335.14 | $664.92 | |
MVP Health Care
| Facility | $495.07 | $495.07 | $495.07 | |
MVP Health Care
| Professional | $140.94 | $335.14 | $664.92 | |
United
| Professional | $129.19 | $296.22 | $683.39 |