| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.83 | $251.19 | $338.84 | |
Cigna
| Facility | $363.08 | $363.08 | $380.19 | |
Cigna
| Professional | $263.03 | $263.03 | $363.08 | |
MVP Health Care
| Professional | $407.38 | $501.19 | $562.34 | |
United
| Facility | $275.42 | $281.84 | $331.13 | |
United
| Professional | $177.83 | $389.05 | $1,071.52 |