| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $449.11 | $601.49 | $601.49 | |
Cigna
| Facility | $369.39 | $369.39 | $369.39 | |
Cigna
| Professional | $269.64 | $369.39 | $380.47 | |
MVP Health Care
| Facility | $369.39 | $369.39 | $369.39 | |
MVP Health Care
| Professional | $369.39 | $369.39 | $380.47 | |
United
| Professional | $326.68 | $641.59 | $844.22 |