| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.03 | $309.03 | $467.74 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $436.52 | $436.52 | $549.54 | |
MVP Health Care
| Facility | $380.19 | $380.19 | $380.19 | |
United
| Facility | $131.83 | $131.83 | $131.83 | |
United
| Professional | $165.96 | $229.09 | $537.03 |