| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $436.80 | $611.54 | $611.54 | |
Cigna
| Facility | $746.73 | $746.73 | $746.73 | |
Cigna
| Professional | $634.72 | $746.73 | $746.73 | |
MVP Health Care
| Facility | $746.73 | $746.73 | $746.73 | |
MVP Health Care
| Professional | $746.73 | $746.73 | $746.73 | |
United
| Professional | $343.85 | $573.05 | $859.62 |