| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $321.39 | $479.19 | $641.78 | |
Cigna
| Facility | $134.00 | $134.00 | $134.00 | |
Cigna
| Professional | $113.90 | $134.00 | $138.02 | |
MVP Health Care
| Facility | $134.00 | $134.00 | $134.00 | |
MVP Health Care
| Professional | $134.00 | $134.00 | $138.02 | |
United
| Professional | $322.31 | $537.44 | $805.78 |