| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.66 | $702.68 | $702.68 | |
Cigna
| Facility | $766.64 | $766.64 | $766.64 | |
Cigna
| Professional | $651.64 | $651.64 | $651.64 | |
MVP Health Care
| Facility | $766.64 | $766.64 | $766.64 | |
United
| Professional | $352.87 | $588.37 | $882.17 |