| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.68 | $49.68 | $567.13 | |
Cigna
| Facility | $147.62 | $147.62 | $147.62 | |
Cigna
| Professional | $197.85 | $197.85 | $197.85 | |
MVP Health Care
| Facility | $147.62 | $147.62 | $147.62 | |
MVP Health Care
| Professional | $55.00 | $55.00 | $197.85 | |
United
| Professional | $38.53 | $88.20 | $203.78 |