| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $281.84 | $407.38 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $158.49 | $354.81 | $489.78 | |
MVP Health Care
| Facility | $331.13 | $331.13 | $331.13 | |
MVP Health Care
| Professional | $331.13 | $331.13 | $331.13 | |
United
| Professional | $144.54 | $331.13 | $758.58 |