| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.53 | $239.88 | $346.74 | |
Cigna
| Facility | $478.63 | $478.63 | $478.63 | |
Cigna
| Professional | $281.84 | $281.84 | $281.84 | |
MVP Health Care
| Facility | $281.84 | $281.84 | $281.84 | |
MVP Health Care
| Professional | $281.84 | $281.84 | $281.84 | |
United
| Professional | $123.03 | $281.84 | $660.69 |