| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.39 | $368.83 | $368.83 | |
Cigna
| Facility | $358.71 | $358.71 | $358.71 | |
Cigna
| Professional | $304.89 | $358.71 | $369.47 | |
MVP Health Care
| Facility | $358.71 | $358.71 | $358.71 | |
MVP Health Care
| Professional | $358.71 | $358.71 | $369.47 | |
United
| Facility | $32.95 | $247.14 | $329.51 | |
United
| Professional | $195.14 | $430.70 | $571.13 |