| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $184.09 | $218.28 | $326.11 | |
Cigna
| Facility | $440.17 | $440.17 | $440.17 | |
Cigna
| Professional | $129.29 | $307.42 | $611.40 | |
MVP Health Care
| Facility | $440.17 | $440.17 | $440.17 | |
MVP Health Care
| Professional | $129.29 | $307.42 | $611.40 | |
United
| Professional | $114.87 | $368.19 | $607.61 |