| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $247.64 | $247.64 | $285.74 | |
Cigna
| Facility | $366.26 | $366.26 | $372.99 | |
Cigna
| Professional | $267.37 | $345.63 | $390.45 | |
MVP Health Care
| Facility | $366.26 | $366.26 | $372.99 | |
MVP Health Care
| Professional | $267.37 | $366.26 | $390.45 | |
United
| Professional | $168.78 | $328.04 | $586.66 |