| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.48 | $112.59 | $1,980.44 | |
Cigna
| Facility | $515.52 | $515.52 | $515.52 | |
Cigna
| Professional | $221.62 | $243.25 | $691.67 | |
MVP Health Care
| Facility | $515.52 | $515.52 | $515.52 | |
MVP Health Care
| Professional | $110.00 | $243.25 | $691.67 | |
United
| Professional | $96.74 | $184.80 | $1,386.00 |