| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.19 | $286.87 | $286.87 | |
Cigna
| Facility | $331.53 | $331.53 | $331.53 | |
Cigna
| Professional | $281.80 | $331.53 | $341.48 | |
MVP Health Care
| Facility | $331.53 | $331.53 | $331.53 | |
MVP Health Care
| Professional | $331.53 | $331.53 | $341.48 | |
United
| Professional | $158.72 | $331.70 | $443.77 |