| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.12 | $323.12 | $1,236.61 | |
Cigna
| Facility | $321.89 | $321.89 | $321.89 | |
Cigna
| Professional | $219.65 | $219.65 | $432.20 | |
MVP Health Care
| Facility | $321.89 | $321.89 | $321.89 | |
MVP Health Care
| Professional | $125.01 | $219.65 | $432.20 | |
United
| Professional | $84.01 | $159.63 | $444.34 |