| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $652.53 | $652.53 | $652.53 | |
Cigna
| Facility | $880.78 | $880.78 | $880.78 | |
Cigna
| Professional | $604.63 | $604.63 | $755.79 | |
MVP Health Care
| Facility | $880.78 | $880.78 | $880.78 | |
MVP Health Care
| Professional | $342.05 | $604.63 | $755.79 | |
United
| Professional | $315.74 | $315.74 | $736.72 |