| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.81 | $386.80 | $386.80 | |
Cigna
| Facility | $234.00 | $234.00 | $234.00 | |
Cigna
| Professional | $198.90 | $198.90 | $198.90 | |
MVP Health Care
| Facility | $234.00 | $234.00 | $234.00 | |
United
| Professional | $228.47 | $309.44 | $571.16 |