| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $243.27 | $325.81 | $325.81 | |
Cigna
| Facility | $347.16 | $347.16 | $455.65 | |
Cigna
| Professional | $295.08 | $347.16 | $455.65 | |
MVP Health Care
| Facility | $347.16 | $347.16 | $455.65 | |
MVP Health Care
| Professional | $347.16 | $347.16 | $455.65 | |
United
| Professional | $181.86 | $352.01 | $476.77 |