| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.13 | $387.29 | $1,301.43 | |
Cigna
| Facility | $338.77 | $338.77 | $338.77 | |
Cigna
| Professional | $262.00 | $287.58 | $454.90 | |
MVP Health Care
| Facility | $338.77 | $338.77 | $338.77 | |
MVP Health Care
| Professional | $131.56 | $287.58 | $454.90 | |
United
| Professional | $88.41 | $190.68 | $910.80 |