| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $219.38 | $219.38 | $253.13 | |
Cigna
| Facility | $330.41 | $335.84 | $335.84 | |
Cigna
| Professional | $245.16 | $245.16 | $277.23 | |
MVP Health Care
| Facility | $330.41 | $335.84 | $335.84 | |
MVP Health Care
| Professional | $245.16 | $245.16 | $277.23 | |
United
| Professional | $155.49 | $266.30 | $519.70 |