| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $290.02 | $290.02 | $334.64 | |
Cigna
| Facility | $380.61 | $380.61 | $380.61 | |
Cigna
| Professional | $277.85 | $277.85 | $445.87 | |
MVP Health Care
| Facility | $380.61 | $380.61 | $380.61 | |
MVP Health Care
| Professional | $277.85 | $277.85 | $445.87 | |
United
| Professional | $197.67 | $352.05 | $687.06 |