| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $670.83 | $670.83 | $670.83 | |
Cigna
| Facility | $905.47 | $905.47 | $905.47 | |
Cigna
| Professional | $621.57 | $621.57 | $776.96 | |
MVP Health Care
| Facility | $905.47 | $905.47 | $905.47 | |
MVP Health Care
| Professional | $351.64 | $621.57 | $776.96 | |
United
| Professional | $324.58 | $324.58 | $757.39 |