| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $501.19 | $660.69 | |
Cigna
| Facility | $891.25 | $891.25 | $891.25 | |
Cigna
| Professional | $524.81 | $524.81 | $524.81 | |
MVP Health Care
| Facility | $524.81 | $524.81 | $524.81 | |
MVP Health Care
| Professional | $524.81 | $524.81 | $524.81 | |
United
| Professional | $229.09 | $316.23 | $1,230.27 |