| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $472.67 | $606.41 | $606.41 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $305.64 | $359.59 | $370.38 | |
MVP Health Care
| Facility | $359.59 | $359.59 | $359.59 | |
MVP Health Care
| Professional | $359.59 | $359.59 | $370.38 | |
United
| Professional | $356.65 | $702.05 | $891.63 |