| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.48 | $180.89 | $2,128.33 | |
Cigna
| Facility | $554.01 | $554.01 | $554.01 | |
Cigna
| Professional | $355.57 | $390.83 | $743.57 | |
MVP Health Care
| Facility | $554.01 | $554.01 | $554.01 | |
MVP Health Care
| Professional | $110.00 | $390.83 | $743.57 | |
United
| Professional | $144.58 | $259.06 | $1,489.50 |