| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $246.38 | $246.38 | $284.27 | |
Cigna
| Facility | $277.45 | $277.45 | $277.45 | |
Cigna
| Professional | $202.54 | $277.45 | $285.77 | |
MVP Health Care
| Facility | $277.45 | $277.45 | $277.45 | |
MVP Health Care
| Professional | $202.54 | $277.45 | $285.77 | |
United
| Professional | $167.92 | $322.51 | $583.66 |