| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.41 | $154.84 | $802.91 | |
Cigna
| Facility | $209.01 | $209.01 | $209.01 | |
Cigna
| Professional | $59.85 | $171.88 | $280.56 | |
MVP Health Care
| Facility | $209.01 | $209.01 | $209.01 | |
MVP Health Care
| Professional | $59.85 | $142.29 | $280.56 | |
United
| Professional | $54.54 | $125.06 | $561.91 |