| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $681.89 | $913.25 | $913.25 | |
Cigna
| Facility | $902.06 | $902.06 | $902.06 | |
Cigna
| Professional | $766.75 | $902.06 | $929.12 | |
MVP Health Care
| Facility | $902.06 | $902.06 | $902.06 | |
MVP Health Care
| Professional | $902.06 | $902.06 | $929.12 | |
United
| Facility | $104.02 | $791.04 | $1,054.72 | |
United
| Professional | $531.16 | $1,088.24 | $1,414.17 |