| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $472.09 | $472.09 | $472.09 | |
Cigna
| Facility | $637.24 | $637.24 | $637.24 | |
Cigna
| Professional | $437.37 | $437.37 | $546.71 | |
MVP Health Care
| Facility | $637.24 | $637.24 | $637.24 | |
MVP Health Care
| Professional | $247.47 | $437.37 | $546.71 | |
United
| Professional | $228.43 | $228.43 | $533.01 |