| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $378.39 | $506.78 | $506.78 | |
Cigna
| Facility | $429.00 | $429.00 | $429.00 | |
Cigna
| Professional | $364.65 | $429.00 | $441.87 | |
MVP Health Care
| Facility | $429.00 | $429.00 | $429.00 | |
MVP Health Care
| Professional | $429.00 | $429.00 | $441.87 | |
United
| Professional | $182.91 | $457.28 | $500.39 |