| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $318.00 | $318.00 | $318.00 | |
Cigna
| Facility | $300.00 | $309.64 | $516.05 | |
Cigna
| Professional | $318.00 | $318.00 | $516.05 | |
MVP Health Care
| Facility | $300.00 | $309.64 | $516.05 | |
MVP Health Care
| Professional | $318.00 | $318.00 | $516.05 | |
United
| Professional | $318.00 | $318.00 | $954.00 |