| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $718.53 | $718.53 | $718.53 | |
Cigna
| Facility | $969.87 | $969.87 | $969.87 | |
Cigna
| Professional | $277.45 | $668.88 | $832.20 | |
MVP Health Care
| Facility | $969.87 | $969.87 | $969.87 | |
MVP Health Care
| Professional | $196.14 | $665.76 | $832.20 | |
United
| Professional | $253.11 | $347.68 | $811.24 |