| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $641.70 | $859.43 | $859.43 | |
Cigna
| Facility | $860.04 | $860.04 | $860.04 | |
Cigna
| Professional | $731.03 | $860.04 | $885.84 | |
MVP Health Care
| Facility | $860.04 | $860.04 | $860.04 | |
MVP Health Care
| Professional | $860.04 | $860.04 | $885.84 | |
United
| Professional | $126.91 | $755.72 | $1,269.59 |