| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $308.36 | $308.36 | $355.80 | |
Cigna
| Facility | $427.13 | $427.13 | $464.43 | |
Cigna
| Professional | $311.80 | $427.13 | $439.94 | |
MVP Health Care
| Facility | $427.13 | $427.13 | $464.43 | |
MVP Health Care
| Professional | $311.80 | $427.13 | $439.94 | |
United
| Professional | $210.17 | $454.00 | $730.50 |