| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $253.38 | $253.38 | $292.37 | |
Cigna
| Facility | $381.63 | $387.54 | $387.54 | |
Cigna
| Professional | $282.89 | $387.54 | $399.17 | |
MVP Health Care
| Facility | $381.63 | $387.54 | $387.54 | |
MVP Health Care
| Professional | $282.89 | $387.54 | $399.17 | |
United
| Professional | $172.70 | $312.70 | $600.26 |