| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $375.03 | $502.28 | $502.28 | |
Cigna
| Facility | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $127.50 | $150.00 | $154.50 | |
MVP Health Care
| Facility | $150.00 | $150.00 | $150.00 | |
MVP Health Care
| Professional | $150.00 | $150.00 | $154.50 | |
United
| Professional | $184.80 | $456.74 | $496.00 |