| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.68 | $158.90 | $650.20 | |
Cigna
| Facility | $169.25 | $169.25 | $169.25 | |
Cigna
| Professional | $227.04 | $227.04 | $227.04 | |
MVP Health Care
| Facility | $169.25 | $169.25 | $169.25 | |
MVP Health Care
| Professional | $65.73 | $65.73 | $227.04 | |
United
| Professional | $44.17 | $101.12 | $455.04 |