| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.76 | $308.12 | $412.66 | |
Cigna
| Facility | $376.09 | $376.09 | $376.09 | |
Cigna
| Professional | $319.68 | $376.09 | $387.37 | |
MVP Health Care
| Facility | $376.09 | $376.09 | $376.09 | |
MVP Health Care
| Professional | $376.09 | $376.09 | $387.37 | |
United
| Professional | $195.86 | $466.67 | $639.01 |