| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $256.48 | $256.48 | $295.94 | |
Cigna
| Facility | $386.29 | $420.61 | $420.61 | |
Cigna
| Professional | $295.00 | $357.52 | $433.23 | |
MVP Health Care
| Facility | $386.29 | $420.61 | $420.61 | |
MVP Health Care
| Professional | $295.00 | $420.61 | $433.23 | |
United
| Professional | $174.80 | $418.76 | $437.01 |