| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.62 | $579.09 | $775.57 | |
Cigna
| Facility | $833.40 | $833.40 | $833.40 | |
Cigna
| Professional | $708.39 | $833.40 | $858.40 | |
MVP Health Care
| Facility | $833.40 | $833.40 | $833.40 | |
MVP Health Care
| Professional | $833.40 | $833.40 | $858.40 | |
United
| Professional | $445.72 | $917.44 | $1,200.98 |