| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.90 | $150.00 | $1,530.34 | |
Cigna
| Facility | $398.35 | $398.35 | $398.35 | |
Cigna
| Professional | $222.11 | $243.80 | $534.37 | |
MVP Health Care
| Facility | $398.35 | $398.35 | $398.35 | |
MVP Health Care
| Professional | $110.00 | $243.80 | $534.37 | |
United
| Professional | $99.96 | $161.68 | $549.88 |