| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $455.00 | $455.00 | $500.50 | |
Cigna
| Facility | $83.92 | $83.92 | $83.92 | |
Cigna
| Professional | $2.48 | $3.10 | $323.33 | |
MVP Health Care
| Facility | $83.92 | $83.92 | $83.92 | |
MVP Health Care
| Professional | $2.48 | $3.10 | $323.33 |