| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.03 | $371.54 | $457.09 | |
Cigna
| Facility | $457.09 | $457.09 | $602.56 | |
Cigna
| Professional | $331.13 | $331.13 | $478.63 | |
MVP Health Care
| Professional | $602.56 | $645.65 | $812.83 | |
United
| Facility | $407.38 | $407.38 | $489.78 | |
United
| Professional | $281.84 | $616.60 | $1,698.24 |