| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.61 | $284.75 | $284.75 | |
Cigna
| Facility | $265.97 | $265.97 | $265.97 | |
Cigna
| Professional | $226.07 | $226.07 | $226.07 | |
MVP Health Care
| Facility | $265.97 | $265.97 | $265.97 | |
United
| Professional | $138.47 | $326.27 | $440.93 |