| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $358.24 | $459.60 | $459.60 | |
Cigna
| Facility | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $108.80 | $128.00 | $131.84 | |
MVP Health Care
| Facility | $128.00 | $128.00 | $128.00 | |
MVP Health Care
| Professional | $128.00 | $128.00 | $131.84 | |
United
| Professional | $270.36 | $558.05 | $675.91 |