| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.84 | $346.74 | $501.19 | |
Cigna
| Facility | $676.08 | $676.08 | $676.08 | |
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 | $407.38 | |
United
| Professional | $177.83 | $407.38 | $933.25 |