| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.78 | $217.50 | $1,127.82 | |
Cigna
| Facility | $293.58 | $293.58 | $293.58 | |
Cigna
| Professional | $83.51 | $198.56 | $394.08 | |
MVP Health Care
| Facility | $293.58 | $293.58 | $293.58 | |
MVP Health Care
| Professional | $83.51 | $198.56 | $394.08 | |
United
| Professional | $76.61 | $206.95 | $405.24 |