| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $218.78 | $257.04 | |
Cigna
| Facility | $436.52 | $436.52 | $436.52 | |
Cigna
| Professional | $138.04 | $309.03 | $436.52 | |
MVP Health Care
| Facility | $263.03 | $263.03 | $263.03 | |
MVP Health Care
| Professional | $263.03 | $263.03 | $288.40 | |
United
| Professional | $93.33 | $218.78 | $602.56 |