| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $375.00 | $425.00 | $425.00 | |
Cigna
| Facility | $349.10 | $349.10 | $349.10 | |
Cigna
| Professional | $302.89 | $319.01 | $882.62 | |
MVP Health Care
| Facility | $349.10 | $349.10 | $349.10 | |
MVP Health Care
| Professional | $302.89 | $319.01 | $882.62 | |
United
| Professional | $223.38 | $354.26 | $938.88 |