| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.05 | $213.05 | $245.83 | |
Cigna
| Facility | $318.35 | $318.35 | $318.35 | |
Cigna
| Professional | $232.40 | $232.40 | $339.37 | |
MVP Health Care
| Facility | $318.35 | $318.35 | $318.35 | |
MVP Health Care
| Professional | $232.40 | $318.35 | $339.37 | |
United
| Professional | $196.66 | $328.10 | $504.72 |