| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $217.55 | $217.55 | $251.02 | |
Cigna
| Facility | $243.19 | $243.19 | $327.67 | |
Cigna
| Professional | $177.53 | $243.19 | $259.25 | |
MVP Health Care
| Facility | $243.19 | $243.19 | $327.67 | |
MVP Health Care
| Professional | $177.53 | $243.19 | $259.25 | |
United
| Professional | $174.74 | $335.03 | $515.38 |