| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.16 | $151.16 | $2,636.23 | |
Cigna
| Facility | $142.61 | $179.25 | $298.74 | |
Cigna
| Professional | $151.16 | $151.16 | $298.74 | |
MVP Health Care
| Facility | $142.61 | $179.25 | $298.74 | |
MVP Health Care
| Professional | $151.16 | $151.16 | $298.74 | |
United
| Professional | $151.16 | $151.16 | $453.51 |