| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $236.74 | $236.74 | $273.17 | |
Cigna
| Facility | $321.50 | $321.50 | $321.50 | |
Cigna
| Professional | $234.70 | $234.70 | $234.70 | |
MVP Health Care
| Facility | $321.50 | $321.50 | $321.50 | |
MVP Health Care
| Professional | $234.70 | $234.70 | $234.70 | |
United
| Professional | $167.81 | $287.38 | $560.84 |