| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $539.51 | $693.34 | $928.58 | |
Cigna
| Facility | $568.02 | $568.02 | $695.55 | |
Cigna
| Professional | $482.82 | $568.02 | $695.55 | |
MVP Health Care
| Facility | $568.02 | $568.02 | $695.55 | |
MVP Health Care
| Professional | $568.02 | $568.02 | $695.55 | |
United
| Professional | $343.85 | $778.53 | $917.01 |