| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.69 | $129.69 | $657.53 | |
Cigna
| Facility | $171.16 | $171.16 | $171.16 | |
Cigna
| Professional | $229.48 | $229.48 | $229.48 | |
MVP Health Care
| Facility | $171.16 | $171.16 | $171.16 | |
MVP Health Care
| Professional | $66.47 | $66.47 | $229.48 | |
United
| Professional | $44.67 | $102.26 | $236.26 |