| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $537.03 | $891.25 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 | |
Cigna
| Professional | $346.74 | $776.25 | $1,096.48 | |
MVP Health Care
| Facility | $588.84 | $588.84 | $588.84 | |
MVP Health Care
| Professional | $588.84 | $588.84 | $724.44 | |
United
| Professional | $257.04 | $724.44 | $1,584.89 |