| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $605.04 | $605.04 | $605.04 | |
Cigna
| Facility | $598.46 | $598.46 | $598.46 | |
Cigna
| Professional | $247.78 | $410.94 | $569.90 | |
MVP Health Care
| Facility | $598.46 | $598.46 | $598.46 | |
MVP Health Care
| Professional | $247.78 | $410.94 | $569.90 | |
United
| Professional | $214.54 | $292.76 | $683.12 |