| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $246.26 | $312.08 | $432.83 | |
Cigna
| Facility | $232.12 | $232.12 | $232.12 | |
Cigna
| Professional | $197.30 | $232.12 | $239.08 | |
MVP Health Care
| Facility | $232.12 | $232.12 | $232.12 | |
MVP Health Care
| Professional | $232.12 | $232.12 | $239.08 | |
United
| Professional | $246.94 | $411.83 | $617.34 |