| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.78 | $217.50 | $217.50 | |
Cigna
| Facility | $293.58 | $293.58 | $293.58 | |
Cigna
| Professional | $86.25 | $205.08 | $407.87 | |
MVP Health Care
| Facility | $293.58 | $293.58 | $293.58 | |
MVP Health Care
| Professional | $86.25 | $205.08 | $407.87 | |
United
| Professional | $76.61 | $179.25 | $789.30 |