| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $383.11 | $491.52 | $491.52 | |
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 | $289.14 | $569.14 | $722.84 |