| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $216.20 | $216.20 | $249.46 | |
Cigna
| Facility | $280.67 | $280.67 | $325.62 | |
Cigna
| Professional | $204.89 | $280.67 | $289.08 | |
MVP Health Care
| Facility | $280.67 | $280.67 | $325.62 | |
MVP Health Care
| Professional | $204.89 | $280.67 | $289.08 | |
United
| Professional | $147.34 | $262.44 | $512.16 |