| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $344.10 | $344.10 | $397.04 | |
Cigna
| Facility | $437.50 | $437.50 | $437.50 | |
Cigna
| Professional | $319.38 | $437.50 | $450.63 | |
MVP Health Care
| Facility | $437.50 | $437.50 | $437.50 | |
MVP Health Care
| Professional | $319.38 | $437.50 | $450.63 | |
United
| Professional | $224.96 | $449.98 | $814.37 |