| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $302.00 | $398.11 | |
Cigna
| Facility | $676.08 | $676.08 | $676.08 | |
Cigna
| Professional | $407.38 | $407.38 | $407.38 | |
MVP Health Care
| Facility | $407.38 | $407.38 | $407.38 | |
MVP Health Care
| Professional | $245.47 | $407.38 | $407.38 | |
United
| Professional | $107.15 | $245.47 | $933.25 |