| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $306.18 | $306.18 | $306.18 | |
Cigna
| Facility | $413.29 | $413.29 | $413.29 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
MVP Health Care
| Facility | $413.29 | $413.29 | $413.29 | |
MVP Health Care
| Professional | $160.50 | $283.73 | $354.66 | |
United
| Professional | $110.25 | $148.15 | $345.69 |