| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $295.12 | $316.23 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $323.59 | $457.09 | $724.44 | |
MVP Health Care
| Facility | $323.59 | $323.59 | $323.59 | |
MVP Health Care
| Professional | $323.59 | $323.59 | $331.13 | |
United
| Professional | $141.25 | $331.13 | $758.58 |