| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.00 | $128.91 | $2,128.33 | |
Cigna
| Facility | $554.01 | $554.01 | $554.01 | |
Cigna
| Professional | $253.63 | $278.39 | $743.57 | |
MVP Health Care
| Facility | $554.01 | $554.01 | $554.01 | |
MVP Health Care
| Professional | $215.15 | $278.39 | $743.57 | |
United
| Professional | $139.02 | $258.45 | $1,489.50 |