| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $496.68 | $734.33 | $991.80 | |
Cigna
| Facility | $469.00 | $469.00 | $469.00 | |
Cigna
| Professional | $398.65 | $398.65 | $398.65 | |
MVP Health Care
| Facility | $469.00 | $469.00 | $469.00 | |
United
| Professional | $498.09 | $830.54 | $1,245.23 |