| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $199.53 | $346.74 | |
Cigna
| Facility | $354.81 | $354.81 | $354.81 | |
Cigna
| Professional | $208.93 | $213.80 | $478.63 | |
MVP Health Care
| Facility | $213.80 | $213.80 | $213.80 | |
MVP Health Care
| Professional | $151.36 | $213.80 | $213.80 | |
United
| Professional | $91.20 | $151.36 | $489.78 |