| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $512.86 | $537.03 | |
Aetna
| Professional | $87.10 | $107.15 | $154.88 | |
Cigna
| Facility | $208.93 | $630.96 | $630.96 | |
Cigna
| Professional | $60.26 | $141.25 | $281.84 | |
MVP Health Care
| Facility | $125.89 | $125.89 | $125.89 | |
MVP Health Care
| Professional | $125.89 | $125.89 | $125.89 | |
United
| Professional | $54.95 | $125.89 | $288.40 |