| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.42 | $289.42 | $333.95 | |
Cigna
| Facility | $325.37 | $325.37 | $325.37 | |
Cigna
| Professional | $237.52 | $237.52 | $237.52 | |
MVP Health Care
| Facility | $325.37 | $325.37 | $325.37 | |
MVP Health Care
| Professional | $237.52 | $237.52 | $237.52 | |
United
| Professional | $259.77 | $445.26 | $684.95 |