| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $220.17 | $220.17 | $220.17 | |
Cigna
| Facility | $297.18 | $297.18 | $297.18 | |
Cigna
| Professional | $85.05 | $205.04 | $255.03 | |
MVP Health Care
| Facility | $297.18 | $297.18 | $297.18 | |
MVP Health Care
| Professional | $85.05 | $204.02 | $255.03 | |
United
| Professional | $106.54 | $106.54 | $248.58 |