| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $199.53 | $309.03 | |
Cigna
| Facility | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
MVP Health Care
| Facility | $245.47 | $245.47 | $245.47 | |
United
| Facility | $87.10 | $87.10 | $87.10 | |
United
| Professional | $107.15 | $147.91 | $380.19 |