| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.40 | $338.84 | $602.56 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $245.47 | $407.38 | $575.44 | |
MVP Health Care
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Facility | $125.89 | $125.89 | $125.89 | |
United
| Professional | $154.88 | $295.12 | $977.24 |