| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.48 | $90.45 | $2,171.60 | |
Cigna
| Facility | $565.26 | $565.26 | $565.26 | |
Cigna
| Professional | $177.79 | $195.68 | $758.98 | |
MVP Health Care
| Facility | $565.26 | $565.26 | $565.26 | |
MVP Health Care
| Professional | $110.00 | $195.68 | $758.98 | |
United
| Professional | $129.53 | $202.64 | $780.29 |