| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.19 | $275.42 | $446.68 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
Cigna
| Professional | $323.59 | $323.59 | $323.59 | |
MVP Health Care
| Facility | $323.59 | $323.59 | $323.59 | |
MVP Health Care
| Professional | $323.59 | $323.59 | $354.81 | |
United
| Professional | $141.25 | $354.81 | $741.31 |