| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $426.58 | $645.65 | |
Cigna
| Facility | $870.96 | $870.96 | $870.96 | |
Cigna
| Professional | $602.56 | $602.56 | $758.58 | |
MVP Health Care
| Facility | $524.81 | $524.81 | $524.81 | |
United
| Facility | $186.21 | $186.21 | $186.21 | |
United
| Professional | $229.09 | $316.23 | $812.83 |