| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.63 | $229.65 | $229.65 | |
Cigna
| Facility | $309.98 | $309.98 | $309.98 | |
Cigna
| Professional | $91.05 | $216.50 | $430.57 | |
MVP Health Care
| Facility | $309.98 | $309.98 | $309.98 | |
MVP Health Care
| Professional | $91.05 | $216.50 | $430.57 | |
United
| Professional | $80.90 | $218.52 | $833.40 |