| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $385.16 | $494.93 | $662.85 | |
Cigna
| Facility | $356.59 | $356.59 | $356.59 | |
Cigna
| Professional | $303.10 | $356.59 | $367.29 | |
MVP Health Care
| Facility | $356.59 | $356.59 | $356.59 | |
MVP Health Care
| Professional | $356.59 | $356.59 | $367.29 | |
United
| Professional | $247.23 | $618.07 | $654.74 |