| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $511.79 | $511.79 | $590.53 | |
Cigna
| Facility | $695.41 | $695.41 | $770.85 | |
Cigna
| Professional | $507.65 | $597.69 | $741.34 | |
MVP Health Care
| Facility | $695.41 | $695.41 | $770.85 | |
MVP Health Care
| Professional | $507.65 | $695.41 | $741.34 | |
United
| Professional | $362.77 | $788.16 | $1,212.43 |