| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $433.67 | $580.80 | $580.80 | |
Cigna
| Facility | $407.96 | $407.96 | $407.96 | |
Cigna
| Professional | $346.77 | $407.96 | $420.20 | |
MVP Health Care
| Facility | $407.96 | $407.96 | $407.96 | |
MVP Health Care
| Professional | $407.96 | $407.96 | $420.20 | |
United
| Professional | $243.15 | $607.88 | $899.39 |