| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $261.54 | $350.27 | $350.27 | |
Cigna
| Facility | $327.62 | $327.62 | $327.62 | |
Cigna
| Professional | $278.48 | $327.62 | $337.45 | |
MVP Health Care
| Facility | $327.62 | $327.62 | $327.62 | |
MVP Health Care
| Professional | $327.62 | $327.62 | $337.45 | |
United
| Professional | $152.63 | $381.61 | $542.40 |