| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.11 | $115.62 | $2,412.86 | |
Cigna
| Facility | $628.07 | $628.07 | $628.07 | |
Cigna
| Professional | $128.05 | $140.55 | $843.31 | |
MVP Health Care
| Facility | $628.07 | $628.07 | $628.07 | |
MVP Health Care
| Professional | $128.05 | $140.55 | $843.31 | |
United
| Professional | $55.94 | $163.91 | $1,688.63 |