| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.19 | $302.00 | $436.52 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $354.81 | $354.81 | $354.81 | |
MVP Health Care
| Facility | $354.81 | $354.81 | $354.81 | |
MVP Health Care
| Professional | $354.81 | $354.81 | $354.81 | |
United
| Professional | $154.88 | $354.81 | $831.76 |