| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.98 | $254.98 | $254.98 | |
Cigna
| Facility | $324.22 | $324.22 | $324.22 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
MVP Health Care
| Facility | $324.22 | $324.22 | $324.22 | |
MVP Health Care
| Professional | $133.66 | $283.73 | $354.66 | |
United
| Professional | $110.25 | $123.38 | $287.88 |