| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.93 | $600.00 | $2,454.33 | |
Cigna
| Facility | $638.88 | $638.88 | $638.88 | |
Cigna
| Professional | $208.32 | $229.20 | $857.90 | |
MVP Health Care
| Facility | $638.88 | $638.88 | $638.88 | |
MVP Health Care
| Professional | $208.32 | $229.20 | $857.90 | |
United
| Professional | $151.71 | $229.02 | $1,717.65 |