| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.14 | $352.43 | $352.43 | |
Cigna
| Facility | $353.90 | $353.90 | $353.90 | |
Cigna
| Professional | $300.82 | $300.82 | $300.82 | |
MVP Health Care
| Facility | $353.90 | $353.90 | $353.90 | |
United
| Professional | $208.18 | $336.77 | $520.45 |