| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $255.44 | $255.44 | $294.74 | |
Cigna
| Facility | $246.11 | $246.11 | $384.73 | |
Cigna
| Professional | $179.66 | $246.10 | $262.36 | |
MVP Health Care
| Facility | $246.11 | $246.11 | $384.73 | |
MVP Health Care
| Professional | $179.66 | $246.10 | $262.36 | |
United
| Professional | $178.41 | $310.07 | $605.13 |