| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $193.00 | $308.68 | $356.17 | |
Cigna
| Facility | $378.92 | $378.92 | $613.97 | |
Cigna
| Professional | $276.61 | $378.92 | $460.32 | |
MVP Health Care
| Facility | $378.92 | $378.92 | $613.97 | |
MVP Health Care
| Professional | $276.61 | $378.92 | $613.97 | |
United
| Professional | $210.38 | $374.71 | $731.27 |