| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.54 | $286.00 | $359.01 | |
Cigna
| Facility | $333.25 | $333.25 | $333.25 | |
Cigna
| Professional | $283.26 | $333.25 | $343.25 | |
MVP Health Care
| Facility | $333.25 | $333.25 | $333.25 | |
MVP Health Care
| Professional | $333.25 | $333.25 | $343.25 | |
United
| Professional | $159.24 | $331.94 | $442.43 |