| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $248.42 | $441.17 | $1,676.88 | |
Cigna
| Facility | $436.49 | $436.49 | $436.49 | |
Cigna
| Professional | $488.54 | $536.78 | $651.13 | |
MVP Health Care
| Facility | $436.49 | $436.49 | $436.49 | |
MVP Health Care
| Professional | $145.00 | $536.78 | $651.13 | |
United
| Professional | $113.91 | $355.78 | $602.53 |