| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.25 | $252.61 | $1,110.65 | |
Cigna
| Facility | $289.10 | $289.10 | $289.10 | |
Cigna
| Professional | $279.73 | $307.58 | $388.41 | |
MVP Health Care
| Facility | $289.10 | $289.10 | $289.10 | |
MVP Health Care
| Professional | $110.00 | $307.58 | $388.41 | |
United
| Professional | $75.45 | $203.80 | $777.29 |