| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $354.81 | $426.58 | |
Cigna
| Facility | $741.31 | $741.31 | $741.31 | |
Cigna
| Professional | $245.47 | $269.15 | $977.24 | |
MVP Health Care
| Facility | $436.52 | $436.52 | $436.52 | |
MVP Health Care
| Professional | $177.83 | $436.52 | $436.52 | |
United
| Professional | $107.15 | $263.03 | $1,023.29 |