| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $397.44 | $465.01 | $465.01 | |
Cigna
| Facility | $647.96 | $647.96 | $647.96 | |
Cigna
| Professional | $473.01 | $647.96 | $667.40 | |
MVP Health Care
| Facility | $647.96 | $647.96 | $647.96 | |
MVP Health Care
| Professional | $647.96 | $647.96 | $667.40 | |
United
| Professional | $268.24 | $527.01 | $670.59 |