| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.73 | $278.42 | $372.89 | |
Cigna
| Facility | $353.55 | $353.55 | $464.03 | |
Cigna
| Professional | $300.52 | $353.55 | $464.03 | |
MVP Health Care
| Facility | $353.55 | $353.55 | $464.03 | |
MVP Health Care
| Professional | $353.55 | $353.55 | $464.03 | |
United
| Professional | $178.98 | $497.68 | $550.63 |