| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $661.47 | $885.90 | $885.90 | |
Cigna
| Facility | $552.13 | $552.13 | $552.13 | |
Cigna
| Professional | $469.31 | $552.13 | $568.69 | |
MVP Health Care
| Facility | $552.13 | $552.13 | $552.13 | |
MVP Health Care
| Professional | $552.13 | $552.13 | $568.69 | |
United
| Professional | $340.95 | $819.60 | $874.94 |