| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $531.90 | $712.40 | $712.40 | |
Cigna
| Facility | $795.00 | $795.00 | $810.90 | |
Cigna
| Professional | $675.75 | $795.00 | $818.85 | |
MVP Health Care
| Facility | $795.00 | $795.00 | $810.90 | |
MVP Health Care
| Professional | $795.00 | $795.00 | $818.85 | |
United
| Professional | $445.72 | $807.42 | $1,124.70 |