| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $535.58 | $749.93 | $749.93 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $305.64 | $305.64 | $305.64 | |
MVP Health Care
| Facility | $359.59 | $359.59 | $359.59 | |
United
| Professional | $112.19 | $646.17 | $969.12 |