| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $219.63 | $219.63 | $253.42 | |
Cigna
| Facility | $271.68 | $271.68 | $330.79 | |
Cigna
| Professional | $198.33 | $266.89 | $289.63 | |
MVP Health Care
| Facility | $271.68 | $271.68 | $330.79 | |
MVP Health Care
| Professional | $198.33 | $271.68 | $289.63 | |
United
| Professional | $149.69 | $266.60 | $520.29 |