| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.64 | $263.64 | $304.22 | |
Cigna
| Facility | $253.20 | $253.20 | $397.10 | |
Cigna
| Professional | $184.84 | $253.20 | $260.80 | |
MVP Health Care
| Facility | $253.20 | $253.20 | $397.10 | |
MVP Health Care
| Professional | $184.84 | $253.20 | $260.80 | |
United
| Professional | $179.70 | $320.05 | $624.60 |