| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.04 | $592.49 | $793.51 | |
Cigna
| Facility | $867.37 | $867.37 | $867.37 | |
Cigna
| Professional | $737.26 | $867.37 | $893.39 | |
MVP Health Care
| Facility | $867.37 | $867.37 | $867.37 | |
MVP Health Care
| Professional | $867.37 | $867.37 | $893.39 | |
United
| Professional | $440.16 | $918.96 | $1,228.75 |