| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $470.85 | $630.60 | $630.60 | |
Cigna
| Facility | $687.90 | $687.90 | $687.90 | |
Cigna
| Professional | $584.72 | $687.90 | $687.90 | |
MVP Health Care
| Facility | $687.90 | $687.90 | $687.90 | |
MVP Health Care
| Professional | $687.90 | $687.90 | $687.90 | |
United
| Professional | $316.77 | $622.91 | $791.96 |