| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $535.01 | $541.20 | $541.20 | |
Cigna
| Facility | $536.83 | $536.83 | $536.83 | |
Cigna
| Professional | $456.31 | $536.83 | $552.92 | |
MVP Health Care
| Facility | $536.83 | $536.83 | $536.83 | |
MVP Health Care
| Professional | $536.83 | $536.83 | $552.92 |