| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $338.23 | $338.23 | $390.27 | |
Cigna
| Facility | $379.04 | $379.04 | $509.44 | |
Cigna
| Professional | $276.70 | $276.70 | $323.83 | |
MVP Health Care
| Facility | $379.04 | $379.04 | $509.44 | |
MVP Health Care
| Professional | $276.70 | $276.70 | $323.83 | |
United
| Facility | $259.82 | $259.82 | $259.82 | |
United
| Professional | $230.53 | $410.58 | $801.29 |