| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $302.00 | $363.08 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $128.82 | $141.25 | $851.14 | |
MVP Health Care
| Facility | $371.54 | $371.54 | $371.54 | |
MVP Health Care
| Professional | $93.33 | $371.54 | $371.54 | |
United
| Professional | $56.23 | $223.87 | $870.96 |