| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.41 | $103.96 | $701.71 | |
Cigna
| Facility | $182.64 | $182.64 | $182.64 | |
Cigna
| Professional | $204.38 | $224.88 | $272.45 | |
MVP Health Care
| Facility | $182.64 | $182.64 | $182.64 | |
MVP Health Care
| Professional | $87.57 | $224.88 | $272.45 | |
United
| Professional | $47.67 | $152.78 | $252.13 |