| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $354.81 | $575.44 | |
Cigna
| Facility | $776.25 | $776.25 | $776.25 | |
Cigna
| Professional | $467.74 | $467.74 | $467.74 | |
MVP Health Care
| Facility | $467.74 | $467.74 | $467.74 | |
MVP Health Care
| Professional | $467.74 | $467.74 | $467.74 | |
United
| Professional | $204.17 | $281.84 | $1,071.52 |