| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.34 | $198.34 | $198.34 | |
Cigna
| Facility | $267.72 | $267.72 | $267.72 | |
Cigna
| Professional | $183.79 | $183.79 | $229.73 | |
MVP Health Care
| Facility | $267.72 | $267.72 | $267.72 | |
MVP Health Care
| Professional | $103.97 | $183.79 | $229.73 | |
United
| Professional | $95.97 | $95.97 | $223.93 |