| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.30 | $245.30 | $272.52 | |
Cigna
| Facility | $231.42 | $279.64 | $466.07 | |
Cigna
| Professional | $245.30 | $245.30 | $466.07 | |
MVP Health Care
| Facility | $231.42 | $279.64 | $466.07 | |
MVP Health Care
| Professional | $245.30 | $245.30 | $466.07 | |
United
| Professional | $221.06 | $245.30 | $735.90 |