| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.93 | $343.45 | $1,371.52 | |
Cigna
| Facility | $357.02 | $357.02 | $357.02 | |
Cigna
| Professional | $208.32 | $229.20 | $479.23 | |
MVP Health Care
| Facility | $357.02 | $357.02 | $357.02 | |
MVP Health Care
| Professional | $138.65 | $229.20 | $479.23 | |
United
| Professional | $91.03 | $151.71 | $959.85 |