| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.98 | $579.60 | $776.25 | |
Cigna
| Facility | $546.85 | $546.85 | $546.85 | |
Cigna
| Professional | $546.85 | $739.60 | $739.60 | |
MVP Health Care
| Facility | $546.85 | $546.85 | $546.85 | |
MVP Health Care
| Professional | $546.85 | $546.85 | $546.85 | |
United
| Professional | $35.71 | $101.57 | $159.37 |