| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.33 | $291.33 | $336.16 | |
Cigna
| Facility | $386.20 | $386.20 | $386.20 | |
Cigna
| Professional | $281.93 | $281.93 | $281.93 | |
MVP Health Care
| Facility | $386.20 | $386.20 | $386.20 | |
MVP Health Care
| Professional | $281.93 | $281.93 | $281.93 | |
United
| Professional | $206.51 | $496.41 | $690.18 |