| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.35 | $238.35 | $275.02 | |
Cigna
| Facility | $228.90 | $228.90 | $358.99 | |
Cigna
| Professional | $194.57 | $228.22 | $235.77 | |
MVP Health Care
| Facility | $228.90 | $228.90 | $358.99 | |
MVP Health Care
| Professional | $194.57 | $228.90 | $235.77 | |
United
| Professional | $182.75 | $367.06 | $564.65 |