| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $624.22 | $624.22 | $624.22 | |
Cigna
| Facility | $842.57 | $842.57 | $842.57 | |
Cigna
| Professional | $578.20 | $578.20 | $722.75 | |
MVP Health Care
| Facility | $842.57 | $842.57 | $842.57 | |
MVP Health Care
| Professional | $327.20 | $578.20 | $722.75 | |
United
| Professional | $302.04 | $302.04 | $704.76 |