| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $269.18 | $269.18 | $310.58 | |
Cigna
| Facility | $344.22 | $344.22 | $405.42 | |
Cigna
| Professional | $251.28 | $344.22 | $354.55 | |
MVP Health Care
| Facility | $344.22 | $344.22 | $405.42 | |
MVP Health Care
| Professional | $251.28 | $344.22 | $354.55 | |
United
| Professional | $190.80 | $376.95 | $637.67 |