| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $280.23 | $323.35 | $369.55 | |
Cigna
| Facility | $375.73 | $375.73 | $383.66 | |
Cigna
| Professional | $274.27 | $375.73 | $526.58 | |
MVP Health Care
| Facility | $375.73 | $375.73 | $383.66 | |
MVP Health Care
| Professional | $274.27 | $383.66 | $526.58 | |
United
| Professional | $178.01 | $366.46 | $663.21 |