| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $269.57 | $269.57 | $311.05 | |
Cigna
| Facility | $274.52 | $274.52 | $406.02 | |
Cigna
| Professional | $200.41 | $274.52 | $292.66 | |
MVP Health Care
| Facility | $274.52 | $274.52 | $406.02 | |
MVP Health Care
| Professional | $200.41 | $274.52 | $292.66 | |
United
| Professional | $183.73 | $327.23 | $638.61 |