| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.44 | $291.00 | $389.73 | |
Cigna
| Facility | $354.55 | $354.55 | $465.35 | |
Cigna
| Professional | $301.37 | $354.55 | $465.35 | |
MVP Health Care
| Facility | $354.55 | $354.55 | $465.35 | |
MVP Health Care
| Professional | $354.55 | $354.55 | $465.35 | |
United
| Professional | $185.45 | $440.66 | $603.50 |