| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $319.58 | $319.58 | $368.75 | |
Cigna
| Facility | $434.07 | $434.07 | $434.07 | |
Cigna
| Professional | $316.87 | $316.87 | $462.74 | |
MVP Health Care
| Facility | $434.07 | $434.07 | $434.07 | |
MVP Health Care
| Professional | $316.87 | $434.07 | $462.74 | |
United
| Professional | $217.82 | $450.57 | $757.09 |