| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $258.99 | $258.99 | $298.83 | |
Cigna
| Facility | $306.16 | $306.16 | $390.08 | |
Cigna
| Professional | $223.50 | $306.16 | $326.39 | |
MVP Health Care
| Facility | $306.16 | $306.16 | $390.08 | |
MVP Health Care
| Professional | $223.50 | $306.16 | $326.39 | |
United
| Professional | $176.52 | $314.39 | $613.54 |