| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.90 | $169.88 | $880.91 | |
Cigna
| Facility | $229.30 | $229.30 | $229.30 | |
Cigna
| Professional | $65.16 | $154.93 | $308.13 | |
MVP Health Care
| Facility | $229.30 | $229.30 | $229.30 | |
MVP Health Care
| Professional | $65.16 | $154.93 | $308.13 | |
United
| Professional | $59.84 | $137.00 | $616.50 |