| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $825.00 | $825.00 | $1,793.97 | |
Cigna
| Facility | $466.98 | $466.98 | $466.98 | |
Cigna
| Professional | $192.56 | $192.56 | $626.79 | |
MVP Health Care
| Facility | $466.98 | $466.98 | $466.98 | |
MVP Health Care
| Professional | $105.84 | $192.56 | $626.79 | |
United
| Professional | $117.18 | $200.30 | $1,255.50 |