| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $800.30 | $1,071.83 | $1,071.83 | |
Cigna
| Facility | $107.63 | $107.63 | $107.63 | |
Cigna
| Professional | $91.49 | $107.63 | $110.86 | |
MVP Health Care
| Facility | $107.63 | $107.63 | $107.63 | |
MVP Health Care
| Professional | $91.49 | $107.63 | $110.86 | |
United
| Professional | $63.31 | $143.05 | $815.36 |