| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $484.53 | $484.53 | $484.53 | |
Cigna
| Facility | $654.02 | $654.02 | $654.02 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
MVP Health Care
| Facility | $654.02 | $654.02 | $654.02 | |
MVP Health Care
| Professional | $253.99 | $448.93 | $561.16 | |
United
| Professional | $234.45 | $234.45 | $547.04 |