| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $579.04 | $810.45 | $810.45 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $200.00 | $206.00 | |
MVP Health Care
| Facility | $200.00 | $200.00 | $200.00 | |
MVP Health Care
| Professional | $200.00 | $200.00 | $206.00 | |
United
| Professional | $407.15 | $678.67 | $1,017.87 |