| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.67 | $224.67 | $259.24 | |
Cigna
| Facility | $215.87 | $215.87 | $338.39 | |
Cigna
| Professional | $157.59 | $215.87 | $230.13 | |
MVP Health Care
| Facility | $215.87 | $215.87 | $338.39 | |
MVP Health Care
| Professional | $157.59 | $215.87 | $230.13 | |
United
| Professional | $156.50 | $272.73 | $532.26 |