| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $421.96 | $565.13 | $565.13 | |
Cigna
| Facility | $255.74 | $255.74 | $255.74 | |
Cigna
| Professional | $217.38 | $255.74 | $263.41 | |
MVP Health Care
| Facility | $255.74 | $255.74 | $255.74 | |
MVP Health Care
| Professional | $255.74 | $255.74 | $263.41 | |
United
| Professional | $211.28 | $528.21 | $558.17 |