| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.80 | $231.80 | $267.47 | |
Cigna
| Facility | $274.64 | $274.64 | $349.13 | |
Cigna
| Professional | $200.49 | $274.64 | $292.80 | |
MVP Health Care
| Facility | $274.64 | $274.64 | $349.13 | |
MVP Health Care
| Professional | $200.49 | $274.64 | $292.80 | |
United
| Professional | $157.97 | $281.38 | $549.15 |