| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $278.02 | $278.02 | $320.79 | |
Cigna
| Facility | $271.77 | $271.77 | $418.74 | |
Cigna
| Professional | $198.39 | $271.77 | $289.72 | |
MVP Health Care
| Facility | $271.77 | $271.77 | $418.74 | |
MVP Health Care
| Professional | $198.39 | $271.77 | $289.72 | |
United
| Professional | $189.49 | $337.48 | $658.63 |