| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $546.49 | $546.49 | $546.49 | |
Cigna
| Facility | $540.54 | $540.54 | $540.54 | |
Cigna
| Professional | $223.78 | $370.87 | $514.67 | |
MVP Health Care
| Facility | $540.54 | $540.54 | $540.54 | |
MVP Health Care
| Professional | $223.78 | $370.87 | $514.67 | |
United
| Professional | $193.78 | $352.80 | $677.96 |