| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $325.00 | $325.00 | $399.10 | |
Cigna
| Facility | $263.19 | $263.19 | $263.19 | |
Cigna
| Professional | $104.49 | $130.61 | $414.06 | |
MVP Health Care
| Facility | $263.19 | $263.19 | $263.19 | |
MVP Health Care
| Professional | $104.49 | $130.61 | $414.06 |