| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $197.29 | $197.29 | $227.64 | |
Cigna
| Facility | $267.94 | $267.94 | $267.94 | |
Cigna
| Professional | $195.60 | $195.60 | $285.63 | |
MVP Health Care
| Facility | $267.94 | $267.94 | $267.94 | |
MVP Health Care
| Professional | $195.60 | $267.94 | $285.63 | |
United
| Professional | $134.46 | $278.14 | $467.37 |