| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $353.71 | $473.72 | $473.72 | |
Cigna
| Facility | $516.79 | $516.79 | $516.79 | |
Cigna
| Professional | $439.27 | $516.79 | $516.79 | |
MVP Health Care
| Facility | $516.79 | $516.79 | $516.79 | |
MVP Health Care
| Professional | $516.79 | $516.79 | $516.79 | |
United
| Professional | $279.92 | $570.22 | $733.56 |