| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.38 | $467.74 | $724.44 | |
Cigna
| Facility | $977.24 | $977.24 | $977.24 | |
Cigna
| Professional | $275.42 | $660.69 | $831.76 | |
MVP Health Care
| Facility | $575.44 | $575.44 | $575.44 | |
United
| Facility | $204.17 | $204.17 | $204.17 | |
United
| Professional | $245.47 | $346.74 | $1,258.93 |