| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $247.04 | $247.04 | $285.04 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $312.30 | $321.67 | |
MVP Health Care
| Facility | $312.30 | $312.30 | $312.30 | |
MVP Health Care
| Professional | $227.98 | $312.30 | $321.67 | |
United
| Professional | $161.51 | $323.05 | $584.65 |