| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.05 | $370.31 | $1,555.42 | |
Cigna
| Facility | $404.89 | $404.89 | $404.89 | |
Cigna
| Professional | $142.33 | $338.40 | $604.10 | |
MVP Health Care
| Facility | $404.89 | $404.89 | $404.89 | |
MVP Health Care
| Professional | $142.33 | $338.40 | $604.10 | |
United
| Professional | $105.66 | $330.01 | $558.89 |