| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $208.93 | $309.03 | |
Cigna
| Facility | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $251.19 | $251.19 | $251.19 | |
MVP Health Care
| Facility | $251.19 | $251.19 | $251.19 | |
MVP Health Care
| Professional | $251.19 | $251.19 | $251.19 | |
United
| Professional | $109.65 | $147.91 | $575.44 |