| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $285.43 | $285.43 | $329.35 | |
Cigna
| Facility | $340.42 | $340.42 | $429.90 | |
Cigna
| Professional | $248.51 | $340.42 | $350.63 | |
MVP Health Care
| Facility | $340.42 | $340.42 | $429.90 | |
MVP Health Care
| Professional | $248.51 | $340.42 | $350.63 | |
United
| Professional | $194.54 | $377.36 | $676.19 |