| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $346.74 | $562.34 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Cigna
| Professional | $407.38 | $407.38 | $407.38 | |
MVP Health Care
| Facility | $407.38 | $407.38 | $407.38 | |
MVP Health Care
| Professional | $407.38 | $407.38 | $457.09 | |
United
| Professional | $177.83 | $457.09 | $954.99 |