| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $309.91 | $309.91 | $357.59 | |
Cigna
| Facility | $297.62 | $297.62 | $466.77 | |
Cigna
| Professional | $217.26 | $297.62 | $317.27 | |
MVP Health Care
| Facility | $297.62 | $297.62 | $466.77 | |
MVP Health Care
| Professional | $217.26 | $297.62 | $317.27 | |
United
| Professional | $211.22 | $376.19 | $734.17 |