| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $197.62 | $785.17 | $1,333.97 | |
Cigna
| Facility | $347.24 | $347.24 | $347.24 | |
Cigna
| Professional | $388.57 | $427.05 | $518.15 | |
MVP Health Care
| Facility | $347.24 | $347.24 | $347.24 | |
MVP Health Care
| Professional | $145.00 | $427.05 | $518.15 | |
United
| Professional | $90.62 | $283.02 | $933.57 |