| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $237.85 | $237.85 | $274.45 | |
Cigna
| Facility | $279.26 | $279.26 | $358.26 | |
Cigna
| Professional | $203.86 | $279.26 | $287.64 | |
MVP Health Care
| Facility | $279.26 | $279.26 | $358.26 | |
MVP Health Care
| Professional | $203.86 | $279.26 | $287.64 | |
United
| Facility | $287.68 | $287.68 | $287.68 | |
United
| Professional | $162.11 | $324.48 | $563.48 |