| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.74 | $644.73 | $863.48 | |
Cigna
| Facility | $545.00 | $545.00 | $545.00 | |
Cigna
| Professional | $463.25 | $545.00 | $561.35 | |
MVP Health Care
| Facility | $545.00 | $545.00 | $545.00 | |
MVP Health Care
| Professional | $545.00 | $545.00 | $561.35 | |
United
| Professional | $319.69 | $799.23 | $852.63 |