| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $205.35 | $205.35 | $236.94 | |
Cigna
| Facility | $297.81 | $297.81 | $309.29 | |
Cigna
| Professional | $217.40 | $283.32 | $306.74 | |
MVP Health Care
| Facility | $297.81 | $297.81 | $309.29 | |
MVP Health Care
| Professional | $217.40 | $297.81 | $306.74 | |
United
| Professional | $145.55 | $269.02 | $486.48 |