| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $338.84 | $467.74 | $602.56 | |
Cigna
| Facility | $812.83 | $812.83 | $812.83 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
MVP Health Care
| Facility | $489.78 | $489.78 | $489.78 | |
MVP Health Care
| Professional | $489.78 | $489.78 | $489.78 | |
United
| Professional | $213.80 | $295.12 | $1,122.02 |