| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.38 | $549.54 | $724.44 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 | |
Cigna
| Professional | $588.84 | $588.84 | $588.84 | |
MVP Health Care
| Facility | $588.84 | $588.84 | $588.84 | |
MVP Health Care
| Professional | $588.84 | $588.84 | $588.84 | |
United
| Professional | $257.04 | $354.81 | $1,348.96 |