| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $270.39 | $270.39 | $270.39 | |
Cigna
| Facility | $364.98 | $364.98 | $364.98 | |
Cigna
| Professional | $250.69 | $281.44 | $313.36 | |
MVP Health Care
| Facility | $364.98 | $364.98 | $364.98 | |
MVP Health Care
| Professional | $141.74 | $250.69 | $313.36 | |
United
| Professional | $130.84 | $130.84 | $312.72 |