| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $576.04 | $576.04 | $664.67 | |
Cigna
| Facility | $782.41 | $782.41 | $867.63 | |
Cigna
| Professional | $571.16 | $673.12 | $805.88 | |
MVP Health Care
| Facility | $782.41 | $782.41 | $867.63 | |
MVP Health Care
| Professional | $571.16 | $782.41 | $805.88 | |
United
| Professional | $408.32 | $699.27 | $1,364.67 |