| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.00 | $125.16 | $1,127.82 | |
Cigna
| Facility | $293.58 | $293.58 | $293.58 | |
Cigna
| Professional | $246.24 | $270.27 | $394.08 | |
MVP Health Care
| Facility | $293.58 | $293.58 | $293.58 | |
MVP Health Care
| Professional | $60.00 | $270.27 | $394.08 | |
United
| Professional | $76.61 | $179.25 | $405.24 |