| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.00 | $224.00 | $2,057.60 | |
Cigna
| Facility | $535.60 | $535.60 | $535.60 | |
Cigna
| Professional | $719.24 | $719.24 | $719.24 | |
MVP Health Care
| Facility | $535.60 | $535.60 | $535.60 | |
MVP Health Care
| Professional | $208.00 | $208.00 | $719.24 | |
United
| Professional | $139.78 | $320.00 | $739.33 |