| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $236.78 | $236.78 | $273.20 | |
Cigna
| Facility | $251.00 | $251.00 | $356.63 | |
Cigna
| Professional | $183.23 | $251.00 | $258.52 | |
MVP Health Care
| Facility | $251.00 | $251.00 | $356.63 | |
MVP Health Care
| Professional | $183.23 | $251.00 | $258.52 | |
United
| Facility | $345.78 | $345.78 | $345.78 | |
United
| Professional | $161.38 | $287.43 | $560.92 |