| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $380.19 | $562.34 | |
Cigna
| Facility | $758.58 | $758.58 | $758.58 | |
Cigna
| Professional | $446.68 | $446.68 | $446.68 | |
MVP Health Care
| Facility | $446.68 | $446.68 | $446.68 | |
MVP Health Care
| Professional | $446.68 | $446.68 | $446.68 | |
United
| Professional | $194.98 | $446.68 | $1,047.13 |