| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $299.33 | $299.33 | $345.38 | |
Cigna
| Facility | $393.88 | $393.88 | $450.85 | |
Cigna
| Professional | $287.52 | $287.52 | $335.36 | |
MVP Health Care
| Facility | $393.88 | $393.88 | $450.85 | |
MVP Health Care
| Professional | $287.52 | $287.52 | $335.36 | |
United
| Professional | $268.73 | $460.97 | $709.11 |