| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $298.55 | $298.55 | $344.48 | |
Cigna
| Facility | $405.51 | $405.51 | $449.67 | |
Cigna
| Professional | $296.02 | $348.81 | $432.29 | |
MVP Health Care
| Facility | $405.51 | $405.51 | $449.67 | |
MVP Health Care
| Professional | $296.02 | $405.51 | $432.29 | |
United
| Professional | $275.58 | $459.77 | $707.27 |