| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.95 | $373.67 | $1,937.68 | |
Cigna
| Facility | $504.39 | $504.39 | $504.39 | |
Cigna
| Professional | $143.35 | $340.85 | $677.08 | |
MVP Health Care
| Facility | $504.39 | $504.39 | $504.39 | |
MVP Health Care
| Professional | $143.35 | $340.85 | $677.08 | |
United
| Professional | $131.63 | $355.56 | $1,356.08 |