| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $568.34 | $761.18 | $761.18 | |
Cigna
| Facility | $394.97 | $394.97 | $394.97 | |
Cigna
| Professional | $288.33 | $394.97 | $406.82 | |
MVP Health Care
| Facility | $394.97 | $394.97 | $394.97 | |
MVP Health Care
| Professional | $394.97 | $394.97 | $406.82 | |
United
| Professional | $402.68 | $710.30 | $1,064.85 |