| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $320.45 | $477.80 | $639.91 | |
Cigna
| Facility | $581.42 | $581.42 | $763.12 | |
Cigna
| Professional | $494.22 | $581.42 | $763.12 | |
MVP Health Care
| Facility | $581.42 | $581.42 | $763.12 | |
MVP Health Care
| Professional | $581.42 | $581.42 | $763.12 | |
United
| Professional | $299.67 | $665.35 | $862.32 |