| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.68 | $188.68 | $217.71 | |
Cigna
| Facility | $284.17 | $292.48 | $292.48 | |
Cigna
| Professional | $213.51 | $292.48 | $301.25 | |
MVP Health Care
| Facility | $284.17 | $292.48 | $292.48 | |
MVP Health Care
| Professional | $213.51 | $292.48 | $301.25 | |
United
| Professional | $128.60 | $273.55 | $446.99 |