| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $262.68 | $465.31 | $2,412.86 | |
Cigna
| Facility | $628.07 | $628.07 | $628.07 | |
Cigna
| Professional | $178.68 | $424.84 | $843.31 | |
MVP Health Care
| Facility | $628.07 | $628.07 | $628.07 | |
MVP Health Care
| Professional | $178.68 | $424.84 | $843.31 | |
United
| Professional | $157.61 | $375.25 | $1,688.63 |