| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $508.48 | $681.00 | $681.00 | |
Cigna
| Facility | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $382.50 | $450.00 | $463.50 | |
MVP Health Care
| Facility | $450.00 | $450.00 | $450.00 | |
MVP Health Care
| Professional | $450.00 | $450.00 | $463.50 | |
United
| Professional | $402.49 | $670.86 | $1,006.22 |