| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $349.19 | $349.19 | $402.91 | |
Cigna
| Facility | $335.34 | $335.34 | $525.91 | |
Cigna
| Professional | $244.80 | $335.34 | $345.40 | |
MVP Health Care
| Facility | $335.34 | $335.34 | $525.91 | |
MVP Health Care
| Professional | $244.80 | $335.34 | $345.40 | |
United
| Professional | $237.99 | $423.87 | $827.23 |