| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.97 | $223.87 | $323.59 | |
Cigna
| Facility | $436.52 | $436.52 | $436.52 | |
Cigna
| Professional | $128.82 | $288.40 | $407.38 | |
MVP Health Care
| Facility | $263.03 | $263.03 | $263.03 | |
MVP Health Care
| Professional | $263.03 | $263.03 | $263.03 | |
United
| Professional | $114.82 | $263.03 | $602.56 |