| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $211.74 | $211.74 | $244.32 | |
Cigna
| Facility | $286.80 | $286.80 | $286.80 | |
Cigna
| Professional | $209.36 | $209.36 | $209.36 | |
MVP Health Care
| Facility | $286.80 | $286.80 | $286.80 | |
MVP Health Care
| Professional | $209.36 | $209.36 | $209.36 | |
United
| Professional | $195.46 | $326.08 | $501.63 |