| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $324.77 | $324.77 | $374.75 | |
Cigna
| Facility | $380.63 | $380.63 | $380.63 | |
Cigna
| Professional | $199.87 | $277.86 | $392.05 | |
MVP Health Care
| Facility | $380.63 | $380.63 | $380.63 | |
MVP Health Care
| Professional | $199.87 | $380.63 | $392.05 | |
United
| Professional | $221.36 | $394.25 | $769.40 |